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Evernorth Care Providers - Tennessee PC

NPI 1831979335ActiveOrganization· General Practice· Lexington, KY

General Practice in Lexington, Kentucky, registered in NPPES in October 2023. The authorized official on file is Jacqueline D. Lakes, Senior Paralegal.

Overview

NPI1831979335
StatusActive
Entity typeOrganization
NPI issuedOct 2, 2023
Last updated in NPPESJul 14, 2025
Certified by providerJul 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other General Practice providers in Lexington

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