Active NPI
Moya P Butler, RN, NP
- Family Nurse Practitioner
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN200355
- Practice address
- 2782 N Cobb Pkwy
Kennesaw, GA 30152-3472 - Phone
- (866) 389-2727
- NPI assigned
- Apr 6, 2012
- Last updated
- Mar 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 355623 | NY | |
| Family Nurse Practitioner | 363LF0000X | 26NJ15487900 | NJ | |
| Family Nurse Practitioner | 363LF0000X | SP032953 | PA | |
| Registered Nurse | 163W00000X | RN300255 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN200355 | GA | Primary |
| Registered Nurse | 163W00000X | 593137 | GA |
Addresses
Primary practice location
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Mailing address
2059 Scenic Hwy N Ste 103B
Snellville, GA 30078-6141
Phone (866) 551-9700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Mbutler0602@aol.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, PA, NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144
527 Bay Rd
Suite 7
Queensbury, NY 12804-1430
Phone (215) 585-2144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 593137 | GA | MD | Registered Nurse |
| RN300255 | GA | MD | Registered Nurse |
| 26NJ15487900 | NJ | MD | Family Nurse Practitioner |
| SP032953 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophelia Medical Group, P.C. | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients | |
| Wig Fix LLC | Current | Accepting new patients | |
| Ophelia Medical Group FL, P.a. | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Matrix Medical of New York PC | Current | Accepting new patients | |
| Journey 2 Wellness | Family | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
2059 Scenic Hwy N
Ste 103B
Snellville, GA 30078
Phone (347) 248-9323
3991 Stone Mountain Hwy
Snellville, GA 30039
Phone (470) 482-6933
1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032
18 E 41st St
Fl 14
New York, NY 10017
Phone (305) 395-4313
18 E 48th St
Fl 14
New York, NY 10017
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
527 Bay Rd
Ste 7
Queensbury, NY 12804
Phone (212) 585-2144
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
Organizations & group practices 10
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.
-
- Addiction Medicine (Family Medicine) Physician
- Philadelphia, PA
- NPI 1588244750
NY
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
GA
-
- Nurse Practitioner
- New York, NY
- NPI 1639433063
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1710782081
-
- Durable Medical Equipment & Medical Supplies
- Snellville, GA
- NPI 1477295574
-
- Family Nurse Practitioner
- Eastchester, NY
- NPI 1487983516
-
- Family Nurse Practitioner
- Sewell, NJ
- NPI 1053353615
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Philadelphia, PA
- NPI 1376179150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1912263799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2059 SCENIC HWY N STE 103B",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786141",
"telephone_number": "866-551-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2782 N COBB PKWY",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301523472",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "MOYA",
"middle_name": "P",
"credential": "RN, NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-06",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "355623",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15487900",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP032953",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN300255",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN200355",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "593137",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Mbutler0602@aol.com",
"affiliation": "N",
"address_1": "116 W 32nd St",
"address_2": "8th floor",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100013212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.