Healthcare Provider Details

I. General information

NPI: 1831011287
Provider Name (Legal Business Name): EVERCARE PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W TRINITY PL
DECATUR GA
30030-3313
US

IV. Provider business mailing address

122 W TRINITY PL APT 4013
DECATUR GA
30030-3396
US

V. Phone/Fax

Practice location:
  • Phone: 404-445-3437
  • Fax: 855-247-4700
Mailing address:
  • Phone: 818-749-4885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VINCE MURPHY
Title or Position: ADMINISTRATOR
Credential:
Phone: 404-445-3437