Active NPI
Phalon King, DOULA CERTIFICATE
- Doula
- Moultrie, GA
National Provider Identifier
1992674808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 51 Kingwood Gardens Dr
Moultrie, GA 31788-5179 - Phone
- (229) 319-3268
- NPI assigned
- Oct 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | GA | Primary |
Addresses
Primary practice location
51 Kingwood Gardens Dr
Moultrie, GA 31788-5179
Mailing address
51 Kingwood Gardens Dr
Moultrie, GA 31788-5179
Phone (229) 319-3268
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sacredblackbutterflydoula@yahoo.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Black Butterfly Doula Services, LLC. | Doula | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Doula
- Moultrie, GA
- NPI 1689543597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1992674808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 KINGWOOD GARDENS DR",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317885179",
"telephone_number": "229-319-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 KINGWOOD GARDENS DR",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317885179",
"telephone_number": "229-319-3268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "PHALON",
"credential": "DOULA CERTIFICATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sacredblackbutterflydoula@yahoo.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "51 Kingwood Gardens Dr",
"city": "Moultrie",
"state": "GA",
"country_code": "US",
"postal_code": "317885179",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.