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Evernorth Care Providers - Tennessee PC

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Company Details

Name: Evernorth Care Providers - Tennessee PC
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 09 Aug 2023 (2 years ago)
Business ID: 1405899
ZIP code: 39157
County: Madison
State of Incorporation: TENNESSEE
Principal Office Address: 1000 Highland Colony Pkwy, Ste 5203Ridgeland, MS 39157

Agent

Name Role Address
C. T. CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE STE 101, FLOWOOD, MS 39232

Director

Name Role Address
Cheryl Hilton, DO Director 730 Cool Springs Blvd., Ste 500, Franklin, TN 37067
Shannon Alsop, DO Director 730 Cool Springs Blvd., Ste 500, Franklin, TN 37067

President

Name Role Address
Cheryl Hilton, DO President 730 Cool Springs Blvd., Ste 500, Franklin, TN 37067

Secretary

Name Role Address
Shannon Alsop, DO Secretary 730 Cool Springs Blvd., Ste 500, Franklin, TN 37067

Treasurer

Name Role Address
Shannon Alsop, DO Treasurer 730 Cool Springs Blvd., Ste 500, Franklin, TN 37067

National Provider Identifier

NPI Number:
1619650041
Certification Date:
2024-02-14

Authorized Person:

Name:
GRACE V BLUE
Role:
CREDENTIALING SR. MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
3125644059

Filings

Type Status Filed Date Description
Annual Report Filed 2025-03-27 Annual Report For Evernorth Care Providers - Tennessee PC
Annual Report Filed 2024-03-31 Annual Report For Evernorth Care Providers - Tennessee PC
Formation Form Filed 2023-08-09 Formation For Evernorth Care Providers - Tennessee PC

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Date of last update: 03 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website