| Evernorth Care Providers - Tennessee Pc | |
|
4700 Millenia Blvd Ste 5005th Orlando FL 32839-6013 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Evernorth Care Providers - Tennessee Pc |
|---|---|
| Speciality | General Practice |
| Location | 4700 Millenia Blvd Ste 5005th, Orlando, Florida |
| Authorized Official Name and Position | Jacqueline D Lakes (SENIOR PARALEGAL) |
| Authorized Official Contact | 9544460640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Care Providers - Tennessee Pc 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Tennessee Pc 4700 Millenia Blvd Ste 5005th Orlando FL 32839-6013 Ph: (773) 292-4800 |
| NPI Number | 1316726730 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 07/14/2025 |
| Medicare PECOS PAC ID | 7911355532 |
|---|---|
| Medicare Enrollment ID | O20231121000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316726730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Holly Trinque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881750487 PECOS PAC ID: 8123217460 Enrollment ID: I20110118000884 |
| Provider Name | Ashley Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811328099 PECOS PAC ID: 8123257334 Enrollment ID: I20140211001293 |
| Provider Name | Sarah E Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417203845 PECOS PAC ID: 6800028424 Enrollment ID: I20140415000392 |
| Provider Name | Norah Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932466372 PECOS PAC ID: 8628220662 Enrollment ID: I20151028000012 |
| Provider Name | Kari K O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255887626 PECOS PAC ID: 8123306982 Enrollment ID: I20170202002360 |
| Provider Name | Tammy Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144850637 PECOS PAC ID: 8628489788 Enrollment ID: I20201202000843 |
| Provider Name | Stacy Lynn Rohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396410163 PECOS PAC ID: 8426455569 Enrollment ID: I20210916001431 |
| Provider Name | Chantelle S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154081131 PECOS PAC ID: 1456746841 Enrollment ID: I20220322001477 |
| Provider Name | Ebony S Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215684675 PECOS PAC ID: 5092199513 Enrollment ID: I20220901002494 |
| Provider Name | Cheryl Hilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184677742 PECOS PAC ID: 4082683651 Enrollment ID: I20231205000811 |
| Provider Name | Kayla Lunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982001830 PECOS PAC ID: 9931524303 Enrollment ID: I20240216000652 |
| Provider Name | Chirag Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043274772 PECOS PAC ID: 8921902651 Enrollment ID: I20240527000111 |
| Provider Name | Jena Hedgecoth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609318682 PECOS PAC ID: 2961788120 Enrollment ID: I20240710002013 |
Instant Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Sandlake Commons Blvd Ste 227, Orlando, FL 32819 Phone: 407-426-4099 Fax: 407-809-5243 | |
Orlando Family Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W Colonial Dr Ste 303, Orlando, FL 32804 Phone: 321-332-6947 Fax: 407-286-4515 | |
The Concierge Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8976 Conroy Windermere Rd, Orlando, FL 32835 Phone: 321-848-4986 | |
Spartan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9145 Narcoossee Rd Ste A102, Orlando, FL 32827 Phone: 407-703-6020 | |
Abid Rasool, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 S Semoran Blvd, Orlando, FL 32822 Phone: 407-380-1428 | |
Family Medical Group Orlando Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7824 Lake Underhill Rd Ste I, Orlando, FL 32822 Phone: 407-601-1210 | |
Physician Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7350 Sandlake Commons Blvd, Suite 1102, Orlando, FL 32819 Phone: 407-355-7478 Fax: 407-354-2431 |