Individual provider Active NPI

Moyra Renee Betuzzi-Teas, M.D.

  • Obstetrics & Gynecology Physician
  • Cumming, GA
National Provider Identifier
1235519240
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
83736 Issued in GA
Practice address
810 Sanders Rd Ste F
Cumming, GA 30041-9049
Phone
(770) 881-7699
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 83736 GA Primary
Obstetrics & Gynecology Physician 207V00000X 0000071080 TN
Obstetrics & Gynecology Physician 207V00000X ME71212 FL
Obstetrics & Gynecology Physician 207V00000X 04-50140 KS

Addresses

Primary practice location

810 Sanders Rd Ste F
Cumming, GA 30041-9049

Mailing address

810 Sanders Rd Ste F
Cumming, GA 30041-9049
Phone (770) 881-7699

Other practice location 1

3905 NW 107th Ave Ste 401
Doral, FL 33178-2785
Phone (786) 542-5358

Other practice location 2

9415 Nall Ave Ste 201
Prairie Village, KS 66207-2529
Phone (913) 600-2958

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME71212FLMDObstetrics & Gynecology Physician
83736GAMDObstetrics & Gynecology Physician
04-50140KSMDObstetrics & Gynecology Physician
0000071080TNMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1235519240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SANDERS RD STE F",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419049",
            "telephone_number": "770-881-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SANDERS RD STE F",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419049",
            "telephone_number": "770-881-7699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 NW 107th Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331782785",
            "country_code": "US",
            "telephone_number": "786-542-5358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9415 Nall Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Prairie Village",
            "state": "KS",
            "postal_code": "662072529",
            "country_code": "US",
            "telephone_number": "913-600-2958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETUZZI-TEAS",
        "first_name": "MOYRA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "83736",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "0000071080",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME71212",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-50140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.