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Wendy Butler , RN

Physician β€’ Augusta, GA

Deactivated NPI 1215472766 Deactivated in NPPES Female Practitioner
Practice location in NPPES

3421 Mike Padgett Hwy
Augusta, GA 309063815

Phone: 7064324889

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of November 15, 2022; the reason is not published. The records below are historical. They do not show whether Wendy Butler currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date December 19, 2016
NPI Deactivation Date November 15, 2022
NPI Active Period 2016 – 2022

Practice Location & Contact Primary Location

Practice Address

3421 Mike Padgett Hwy

Augusta, GA 309063815

Telephone 7064324889
Fax 7067713204
Organization at the Same NPPES Address or Phone
Csb Community Mental Health Center Of East Central Georgia Facility NPI 1669456620

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Augusta and Georgia

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Substance Abuse Rehabilitation Facility Primary Specialty

NUCC Taxonomy Code: 324500000X

License # reported to NPPES GA RN132773

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Mara Fernandez , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1275047821

Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated November 15, 2022

NPPES lists this NPI as deactivated as of November 15, 2022; the reason is not published.

βœ…
NPI Profile Active December 19, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 19, 2016

Registered at 3421 MIKE PADGETT HWY, AUGUSTA, GA 309063815 (Tel: 7064324889)

πŸ“
Business Mailing Address (Initial Record) December 19, 2016

Registered at 3421 MIKE PADGETT HWY, AUGUSTA, GA 309063815 (Tel: 7064324889)

πŸ‘€
Provider Name / Credentials (Initial Record) December 19, 2016

Recorded as WENDY BUTLER, RN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2016

Substance Abuse Rehabilitation Facility (license number reported to NPPES: GA RN132773)

🟒
Initial NPI Registration & Enumeration December 19, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215472766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2016
Last Update: December 19, 2016
Deactivation Date: November 15, 2022

Mailing Address

3421 Mike Padgett Hwy

Augusta, GA 309063815

Phone: 7064324889

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.