YENTL BUTLER (NP) – Family Nurse Practitioner, NPI 1104171446

Family Nurse Practitioner

YENTL BUTLER (NP) is a healthcare provider. based in Covington, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN184069 (GA). The NPI Number for YENTL BUTLER (NP) is 1104171446

Main info

Female

14 Years Of Experience

Accepts Medicare Assignment

Name

YENTL BUTLER (NP)

NPI

1104171446

Phone

(404) 452-7669

Address

170 COLSER DR

Enumeration Date

23 July 2012

Last Update Date

5 September 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8663892727

Graduation Year

2012 (14 years ago)

PAC ID

4880846724

Group Practice PAC ID

6709850241

Professional Enrollment ID

I20121128000736

Address ID

GA300191144DA3027XRDXX400

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience55

Completeness85

Years active:13State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for YENTL BUTLER (NP)

170 COLSER DR
COVINGTON, GA 300160984
Phone: (404) 452-7669
Type: Mailing
3027 JIM MOORE RD
DACULA, GA 300191144
Phone: (404) 452-7669
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20121128000736	I	Nurse Practitioner	GA	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30016)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6709850241View full group profile

Name	Specialty	State
MRS. SINDU C GEORGE (APRN)	-	FL
MS. MARIA NICHOLE THOMAS (ARNP)	-	FL
LANCEY IRENE CUNNINGHAM (ARNP)	-	FL
MRS. ANGELA MARIA CHAMPION (FP-C)	Nurse Practitioner	FL
AMANDA PERKINS	Nurse Practitioner	FL
MRS. JANE L OVEDOVITZ (R.N.,F.N.P.)	-	MD
Unknown Individual	-	AZ
KATHERINE MALE (APRN)	-	FL
AMANDA HARNER (CRNP)	-	MD
SHITALBEN PARBHUBHAI OZA (ARNP)	-	GA