OrganizationActive
Evergreen Medical, Inc.
NPI 1316160534 · Physical Medicine & Rehabilitation Physician · Draper, UT
Provider details
- NPI number
- 1316160534
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marci Merrill, Billing Manager(801) 676-7627
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
96 E Kimballs Ln Ste 304
Draper, UT 84020-5021
Phone: (801) 676-7627
Fax: (801) 676-7629
Street-level locationGet directions
Mailing address
Po Box 900280
Sandy, UT 84090-0280
Other names (DBA / former)
- Doing business as
- The Smart Clinic
- Doing business as
- The Smart Clinic
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2023-07-24
- Certified
- 2023-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.