Individual provider Active NPI

Eva Stills, COS, CT, RH, MNIMH

  • Prevention Professional
  • Fayetteville, NC
National Provider Identifier
1639975402
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
C87634 Issued in NC
Practice address
3035 Legion Rd Ste 106
Fayetteville, NC 28306-4004
Phone
(910) 476-4786
NPI assigned
Feb 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X C87634 NC Primary

Addresses

Primary practice location

3035 Legion Rd Ste 106
Fayetteville, NC 28306-4004

Mailing address

634 Locust Grove Dr
Fayetteville, NC 28314-3211
Phone (910) 476-4786

Other identifiers 2

IdentifierTypeStateIssuer
280114410OtherNCAADP
C87634OtherNCCOS

Other names 1

  • Eva McPhatter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C87634NCMDPrevention Professional

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639975402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 LOCUST GROVE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283143211",
            "telephone_number": "910-476-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 LEGION RD STE 106",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283064004",
            "telephone_number": "910-476-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLS",
        "first_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "COS, CT, RH, MNIMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-09-11",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NC",
            "license": "C87634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AADP",
            "identifier": "280114410",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COS",
            "identifier": "C87634",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "MCPHATTER",
            "credential": "COS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.