Active NPI
Phyllis Coulter Everett, MSN AOCN AGN-BC NP-C
- Adult Health Nurse Practitioner
- Big Island, VA
National Provider Identifier
1861472458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024166699
- Practice address
- 10961 Lee Jackson Hwy
Big Island, VA 24526 - Phone
- (434) 299-5029
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024166699 | VA | Primary |
Addresses
Primary practice location
10961 Lee Jackson Hwy
Big Island, VA 24526
Mailing address
21430 Timberlake Rd
Lynchburg, VA 24502-7248
Phone (540) 297-6026
Other practice location 1
10102 Leesville Rd
Lynch Station, VA 24571
Phone (540) 297-6026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861472458 | Medicaid | VA |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150916001297 | VA | Practitioner - Nurse Practitioner | 2961621586 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10961 Lee Jackson Hwy
Big Island, VA 24526-0101
Phone (434) 299-5029
Hospital & facility affiliations
- Enhabit Home Health (Lynchburg)
- Good Samaritan Hospice Inc
- Centra Health - Lynchburg Gen Hospital
- Centra Bedford Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phyllis Coulter Everett | Adult Health | Current | Accepting new patients |
| American Advanced Practice Network, P.C. | Current | Accepting new patients |
Locations
3803 Peachtree Ave
Wilmington, NC 28403
Phone (910) 313-2111
21430 Timberlake Rd
Lynchburg, VA 24502
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1407884448
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Lynchburg, VA
- NPI 1811925852
Hospital
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Lynchburg, VA
- NPI 1902834948
Hospital
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynchburg, VA
- NPI 1184964124
Hospital
-
- Home Health Agency
- Forest, VA
- NPI 1366082042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1861472458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21430 TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027248",
"telephone_number": "540-297-6026",
"fax_number": "540-297-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10961 LEE JACKSON HWY",
"city": "BIG ISLAND",
"state": "VA",
"postal_code": "24526",
"telephone_number": "434-299-5029"
}
],
"practiceLocations": [
{
"address_1": "10102 Leesville Rd",
"address_purpose": "LOCATION",
"city": "Lynch Station",
"state": "VA",
"postal_code": "24571",
"country_code": "US",
"telephone_number": "540-297-6026",
"fax_number": "540-297-6048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVERETT",
"first_name": "PHYLLIS",
"middle_name": "COULTER",
"name_prefix": "Mrs.",
"credential": "MSN AOCN AGN-BC NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024166699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861472458",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Big Island, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.