Individual provider Active NPI

Cynthia P. Butler, D.O.

  • Family Medicine Physician
  • Mayodan, NC
National Provider Identifier
1487668000
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36668 Issued in NC
Practice address
6701 B Hwy 135
Mayodan, NC 27027
Phone
(336) 573-9228
Fax
(336) 573-2977
NPI assigned
Jul 28, 2006
Last updated
May 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36668 NC Primary

Addresses

Primary practice location

6701 B Hwy 135
Mayodan, NC 27027

Mailing address

6701 B Hwy 135
Mayodan, NC 27027
Phone (336) 573-9228

Other identifiers 1

IdentifierTypeStateIssuer
8920451MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100426000140 NC Practitioner - Family Practice 8325175219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Morehead Memorial Hospital CurrentSince Sep 4, 2017 Accepting new patients
Morehead Memorial Hospital Family Medicine Current Accepting new patients
Morehead Memorial Hospital Family Medicine Past Accepting new patients

Locations

515 Thompson St
Ste D
Eden, NC 27288
Phone (336) 627-5178

6701 NC Highway 135
Mayodan, NC 27027
Phone (336) 573-9228

6701B NC Highway 135
Mayodan, NC 27027
Phone (336) 635-6816

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1487668000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 B HWY 135",
            "city": "MAYODAN",
            "state": "NC",
            "postal_code": "27027",
            "telephone_number": "336-573-9228",
            "fax_number": "336-573-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 B HWY 135",
            "city": "MAYODAN",
            "state": "NC",
            "postal_code": "27027",
            "telephone_number": "336-573-9228",
            "fax_number": "336-573-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CYNTHIA",
        "middle_name": "P.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "36668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920451",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayodan, NC

Sources for this page

Verify at the official NPI Registry.