Evernorth Care Providers - Tennessee PC
NPI 1205607397ActiveOrganization· General Practice· Aiken, SC
General Practice in Aiken, South Carolina, registered in NPPES in January 2024. The authorized official on file is Jacqueline D. Lakes, Senior Paralegal.
Overview
| NPI | 1205607397 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2024 |
| Last updated in NPPES | Jul 14, 2025 |
| Certified by provider | Jul 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in Aiken
- 1205517026
- 1164002937
- 1447888102
- 1992555833
- 1851563373
- 1659355428