Healthcare Provider Details

I. General information

NPI: 1649146127
Provider Name (Legal Business Name): AVEVORX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 SAMMY MCGHEE BLVD STE 103
JASPER GA
30143-7722
US

IV. Provider business mailing address

200 W LEXINGTON AVE STE 203
HIGH POINT NC
27262-2599
US

V. Phone/Fax

Practice location:
  • Phone: 877-283-8679
  • Fax: 800-987-6552
Mailing address:
  • Phone: 336-309-3692
  • Fax: 800-987-6552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC HILL
Title or Position: CO-PRESIDENT / MEMBER
Credential:
Phone: 877-283-8679