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Evernorth Care Providers - Tennessee PC

General Practice Physician in Aiken, SC · enumerated 2024 · authorized official Jacqueline Lakes, Senior Paralegal.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205607397

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Registry record

Entity type Organization (Type 2)
Legal business name Evernorth Care Providers - Tennessee PC
Practice address 900 Trail Ridge Rd Fl 1, Aiken, SC, 29803
Phone (773) 292-4800
Fax (312) 564-4059
Enumeration date Jan 9, 2024
Last updated in NPPES Jul 14, 2025

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jacqueline Lakes
Title Senior Paralegal
Phone (954) 446-0640

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Evernorth Care Providers - Tennessee PC?
Evernorth Care Providers - Tennessee PC is registered in NPPES as a General Practice Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-14.