NPI age
6 years
Enumerated 2020-01-30
● Active Type 2 · Organization
Subpart
Micgra Telehealth Lllp
Micgra Telehealth Lllp is 1 of 1622 nurse practitioner organizations in Georgia.
Primary specialty
Nurse Practitioner
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Butler
Owner
Last NPPES update
2026-02-04
Source: monthly bulk 2026-05
How this organization compares
Across 1622 active nurse practitioner providers in Georgia.
NPI age
6 years
↑ 2 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
301 White Ingram Pkwy Ste C
Dallas, GA 301325066
Mailing address
301 W I Pkwy Ste C
Dallas, GA 301325066
Additional practice locations
1 secondary location on file with NPPES.
Location 2
555 Andover Park W Ste 200
Tukwila, WA 981883379
Authorized official
Odette Amanda Butler, NP
Owner
📞 4047513700
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Micgra Psych LLC
Practice context
Multi-site organization. 1 additional practice location on file.
Subpart of Micgra Telehealth Lllp.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.