Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BEVERLY EVERETT
NPI 1801259122
Counselor - Professional in Winston Salem, NC

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
1255 CREEKSHIRE WAY STE 100, WINSTON SALEM, NC 27103(336) 701-3111(888) 757-4153 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, May 10, 2017 (2 updates tracked since 2017).

About Beverly Everett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY EVERETT (NPI 1801259122) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (S12057) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Liberty Univ College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1801259122
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBEVERLY EVERETT
Location Address1255 CREEKSHIRE WAY STE 100Winston Salem, NC 27103-3059
Mailing Address1255 Creekshire Way Ste 251Winston Salem, NC 27103-3061 · (336) 701-3111 · Fax (888) 757-4153
Fax(888) 757-4153
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2015
Enumeration DateApril 4, 2016
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1801259122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · S12057
1255 CREEKSHIRE WAY STE 100, Winston Salem, NC 27103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Beverly Everett is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608212949
PECOS Enrollment IDI20240308003699
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Beverly Everett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1255 CREEKSHIRE WAY, SUITE 270
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Everett's NPI number?

The NPI number for Beverly Everett is 1801259122. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Beverly Everett located?

Beverly Everett practices at 1255 Creekshire Way Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 701-3111.

What is Beverly Everett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Beverly Everett enrolled in Medicare?

Yes. Beverly Everett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Beverly Everett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Everett reassigns Medicare benefits to Certus Psychiatry And Integrated Care PLLC (Winston Salem, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beverly Everett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beverly Everett accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Beverly Everett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beverly Everett was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.