ANGELA A SIMMONS-BUTLER (NP) – Family Nurse Practitioner, NPI 1124285432

ANGELA A SIMMONS-BUTLER (NP) is a healthcare provider. based in Cleveland, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN123336 (GA). The NPI Number for ANGELA A SIMMONS-BUTLER (NP) is 1124285432

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA A SIMMONS-BUTLER (NP)
NPI
1124285432
Phone
(706) 969-7510
Address
105 N MAIN ST
Enumeration Date
22 May 2008
Last Update Date
25 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
3577634385
Professional Enrollment ID
I20080623000477
Address ID
MI481527031LI20555PKWY316

Contacts

Secure Messaging
stmaryspalliativecare@605.direct.myezyaccess.com
Secure Messaging
abutler2024342@direct.trinity-health.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for ANGELA A SIMMONS-BUTLER (NP)

  • 105, Main Street, Cleveland, Le Sueur County, Minnesota, 56017, United States

    CLEVELAND, GA 305281123

    Phone: (706) 969-7510

    Type: Location

  • 3870, The Colbert, Omaha, Douglas County, Nebraska, 68131, United States

    COLBERT, GA 306280459

    Phone: (706) 788-3234

    Type: Mailing

  • PO BOX 48089

    ATHENS, GA 306048089

    Phone: (706) 389-3740

    Fax: (706) 389-3951

    Type: Mailing

  • 1021 JAMESTOWN BLVD STE 215

    WATKINSVILLE, GA 306774176

    Phone: (706) 389-2273

    Fax: (706) 389-2298

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Exact Sciences Corporation ($40).

Total Amount

$85

General + Research + Ownership

Payments

4

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-06-23

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080623000477INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2015$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 30528)

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Reviews

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Frequently asked questions

Can I use this page to confirm ANGELA A SIMMONS-BUTLER (NP)'s NPI?
Yes. ANGELA A SIMMONS-BUTLER (NP) is listed with NPI 1124285432 in the public NPI dataset.
Is ANGELA A SIMMONS-BUTLER (NP) listed as active for patients and plans?
The listing shows ANGELA A SIMMONS-BUTLER (NP) as active in the NPI system.
What is ANGELA A SIMMONS-BUTLER (NP) best known for clinically?
Directory data describes ANGELA A SIMMONS-BUTLER (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ANGELA A SIMMONS-BUTLER (NP) based?
ANGELA A SIMMONS-BUTLER (NP) is tied to Cleveland, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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