OrganizationActive
Evernorth Direct Health LLC
NPI 1578831665 · Non-Pharmacy Dispensing Site · Lyerly, GA
Evernorth Direct Health LLC is a Non-Pharmacy Dispensing Site organization in Lyerly, GA (NPI 1578831665).
Provider details
- NPI number
- 1578831665
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 625-2990
- License
- 004110 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
5081 Highway 114
Lyerly, GA 30730-4585
Phone: (800) 241-4900
Approximate (ZIP-level) locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Other names (DBA / former)
- Doing business as
- Mohawk Healthy Life Center - Lyerly
- Doing business as
- Mohawk Healthy Life Center - Lyerly
Registry dates
- Enumerated
- 2011-12-05
- Last updated
- 2021-05-03
- Certified
- 2021-05-03
Frequently asked questions
- What is Evernorth Direct Health LLC's NPI number?
- Evernorth Direct Health LLC's National Provider Identifier (NPI) is 1578831665, 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 Non-Pharmacy Dispensing Site (Suppliers).
- Where is Evernorth Direct Health LLC located?
- Evernorth Direct Health LLC's practice location on file with NPPES is 5081 Highway 114, Lyerly, GA 30730-4585.
- What is Evernorth Direct Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Evernorth Direct Health LLC is (800) 241-4900.
- Who is the authorized official for Evernorth Direct Health LLC?
- The authorized official listed on Evernorth Direct Health LLC's NPPES record is Kenny Heine, Vp of Operations. 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 (1578831665) is active in the NPPES registry as of the last update on 2021-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.