NPI 1619650041 · live from the CMS NPI Registry
Evernorth Care Providers - Tennessee PC
Internal Medicine, Hospice and Palliative Medicine in Ridgeland, MS. National Provider Identifier 1619650041, active.
NPI record
| NPI | 1619650041 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Hospice and Palliative Medicine 207RH0002X |
| Practice location | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157 |
| Practice phone | 773-292-4800 |
| Mailing address | 730 Cool Springs Blvd Ste 500, Franklin, TN 37067 |
| Enumerated | August 11, 2023 |
| Last updated | July 14, 2025 |
| Authorized official | Jacqueline Lakes, Senior Paralegal |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine primary | 207RH0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.