Alberta Daniels Butler
Individual provider Active NPI Contractor · Moultrie, GA
NPI 1821913260 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1821913260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 116 5TH St SW
Moultrie, GA 31768-4556 - Phone
- (850) 307-2935
- NPI assigned
- Aug 13, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
116 5TH St SW
Moultrie, GA 31768-4556
Mailing address
116 5TH St SW
Moultrie, GA 31768-4556
Phone (850) 307-2935
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.