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Evernorth Care Providers - Tennessee PC

General Practice Physician in Little Rock, AR · enumerated 2024 · authorized official Grace Blue, Credentialing Sr. Manager.

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

National Provider Identifier

1689431132

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Registry record

Entity type Organization (Type 2)
Legal business name Evernorth Care Providers - Tennessee PC
Practice address 400 W Capitol Ave Ste 1700, Little Rock, AR, 72201
Fax (312) 564-4059
Enumeration date Mar 1, 2024
Last updated in NPPES Mar 1, 2024

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Grace Blue
Title Credentialing Sr. Manager

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.

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Frequently asked questions

What is the NPI number for Evernorth Care Providers - Tennessee PC?
The NPI for Evernorth Care Providers - Tennessee PC is 1689431132, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Evernorth Care Providers - Tennessee PC?
NPPES lists Grace Blue (Credentialing Sr. Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-01.