Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evernorth Care Providers - Tennessee PC

Organization Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1619650041

Evernorth Care Providers - Tennessee PC is a Hospice and Palliative Medicine (Internal Medicine) Physician in Ridgeland, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079
Phone: (773) 292-4800
Fax: (312) 564-4059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X

Record details

NPI number1619650041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Lakes — Senior Paralegal · (954) 446-0640
NPI enumeratedAugust 11, 2023
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address730 Cool Springs Blvd Ste 500, Franklin, TN 37067-7331