OrganizationActive
Evernorth Direct Health LLC
NPI 1336009380 · Clinic/Center · Orlando, FL
Evernorth Direct Health LLC is a Clinic/Center organization in Orlando, FL (NPI 1336009380).
Provider details
- NPI number
- 1336009380
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Evernorth Direct Health LLC
- Organization subpart
- Yes
- Authorized official
- Shannon Custer, Chief Operating Officer and Vp(706) 483-5099
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
6272 Lee Vista Blvd
Orlando, FL 32822-5148
Phone: (623) 277-1190
Street-level locationGet directions
Mailing address
8888 E Raintree Dr
Scottsdale, AZ 85260-3951
Registry dates
- Enumerated
- 2025-11-13
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Frequently asked questions
- What is Evernorth Direct Health LLC's NPI number?
- Evernorth Direct Health LLC's National Provider Identifier (NPI) is 1336009380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evernorth Direct Health LLC?
- Evernorth Direct Health LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Evernorth Direct Health LLC located?
- Evernorth Direct Health LLC's practice location on file with NPPES is 6272 Lee Vista Blvd, Orlando, FL 32822-5148.
- What is Evernorth Direct Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Evernorth Direct Health LLC is (623) 277-1190.
- Who is the authorized official for Evernorth Direct Health LLC?
- The authorized official listed on Evernorth Direct Health LLC's NPPES record is Shannon Custer, Chief Operating Officer and Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evernorth Direct Health LLC's NPI active?
- Yes — Evernorth Direct Health LLC's NPI (1336009380) is active in the NPPES registry as of the last update on 2025-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.