Angela A Simmons-Butler, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN123336 Issued in GA

Practice address

1021 Jamestown Blvd Ste 215
Watkinsville, GA 30677-4176

Phone

(706) 389-2273

Fax

(706) 389-2298

NPI assigned

May 22, 2008

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.1 of 100Reported as group

Quality

87.6

Promoting interoperability

100

Improvement activities

40

Cost

76.07

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Covenant Emergency Physicians LLC

  • Emergency Medicine Physician
  • Demorest, GA
  • NPI 1194776914
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1124285432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3740",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 JAMESTOWN BLVD STE 215",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774176",
            "telephone_number": "706-389-2273",
            "fax_number": "706-389-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS-BUTLER",
        "first_name": "ANGELA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN123336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abutler2024342@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1021 Jamestown Blvd Ste 215",
            "city": "Watkinsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306774176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashmita Jayaram Shah, DMD
• Lana Sheats, REGISTERED NURSE
• Shenara Austin Sexton, MD, LLC (Sexton Dermatology)
• Katlyn M Shives
• Silverleaf Hospice, Inc (BridgeWay Palliative Care)
• Joseph Andrew Simon
• Dianne Simpson, MSW
• Billy Vance Sims, LCSW, MHP
• Hulet Smith Jr., O.T.
• Justin Daniel Smith, LMSW

• Family Nurse Practitioner in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.

Verify at the official NPI Registry.