Active NPI
Terry Levon Everett
- Anesthesiology Physician
- Richmond, VA
National Provider Identifier
1720872104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 207L00000X
- Practice address
- 417 N 11TH St
Richmond, VA 23298-5024 - Phone
- (804) 828-0733
- Fax
- (804) 828-8300
- NPI assigned
- Apr 8, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 207L00000X | VA | Primary |
Addresses
Primary practice location
417 N 11TH St
Richmond, VA 23298-5024
Mailing address
417 N 11TH St
Richmond, VA 23298-5024
Phone (804) 828-0733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250730002914 | VA | Order and Referring Only - Anesthesiology | 1254848534 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207L00000X | VA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1720872104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 N 11TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985024",
"telephone_number": "804-828-0733",
"fax_number": "804-828-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 N 11TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985024",
"telephone_number": "804-828-0733",
"fax_number": "804-828-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "TERRY",
"middle_name": "LEVON",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "207L00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.