Individual provider Active NPI

Wendy Dillard Butler, D.C.

  • Chiropractor
  • Albany, GA
National Provider Identifier
1881897312
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6583 Issued in GA
Practice address
2734 Ledo Rd
Suite 8
Albany, GA 31707-7626
Phone
(229) 438-7000
Fax
(229) 438-7200
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6583 GA Primary

Addresses

Primary practice location

2734 Ledo Rd
Suite 8
Albany, GA 31707-7626

Mailing address

2734 Ledo Rd
Suite 8
Albany, GA 31707-7626
Phone (229) 438-7000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6583GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Albany LLC Chiropractor CurrentSince Nov 5, 2012 Accepting new patients
Activelife Family Chiropractic & Wellness Chiropractor PastSince Jun 13, 2006 Accepting new patients

Locations

2734 Ledo Rd
Ste 8
Albany, GA 31707
Phone (229) 438-7000

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1881897312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 LEDO RD",
            "address_2": "SUITE 8",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317077626",
            "telephone_number": "229-438-7000",
            "fax_number": "229-438-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 LEDO RD",
            "address_2": "SUITE 8",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317077626",
            "telephone_number": "229-438-7000",
            "fax_number": "229-438-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "WENDY",
        "middle_name": "DILLARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.