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MICGRA TELEHEALTH LLLP
NPI 1013548981
Nurse Practitioner - Psychiatric/Mental Health in Dallas, GA

Active since January 30, 2020
301 WHITE INGRAM PKWY STE C, DALLAS, GA 30132(404) 751-3700 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 4, 2026, Nov 15, 2023, Jul 21, 2021 and 1 more (4 updates tracked since 2020).

About Micgra Telehealth Lllp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICGRA TELEHEALTH LLLP (NPI 1013548981), doing business as Micgra Psych Llc, is a healthcare organization registered as a psychiatric/mental health in Dallas, Georgia and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Tukwila and lists Odette Amanda Butler, Owner, as its authorized official.

NPPES Registry Identity

NPI1013548981
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMICGRA TELEHEALTH LLLP
Location Address301 WHITE INGRAM PKWY STE CDallas, GA 30132-5066
Mailing Address301 W I Pkwy Ste CDallas, GA 30132-5066 · (800) 867-1024 · Fax (206) 485-4710
Phone(404) 751-3700
Organization SubpartYes
Authorized OfficialOdette Amanda ButlerOwner · (404) 751-3700
Enumeration DateJanuary 30, 2020
Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1013548981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
301 WHITE INGRAM PKWY STE C, Dallas, GA 30132
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Other Names 1

Doing Business AsMicgra Psych Llc

Secondary Practice Location 1

Location 1555 Andover Park W Ste 200Tukwila, WA 98188-3379 · Phone (800) 867-1024 · Fax (206) 485-4710

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Regence BlueCross BlueShield of Oregon.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micgra Telehealth Lllp's NPI number?

The NPI number for Micgra Telehealth Lllp is 1013548981. It was assigned to this organization in the NPPES registry on January 30, 2020. The provider is doing business as Micgra Psych LLC.

Where is Micgra Telehealth Lllp located?

Micgra Telehealth Lllp is located at 301 White Ingram Pkwy Ste C, Dallas, GA 30132. The listed phone number is (404) 751-3700.

What is Micgra Telehealth Lllp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Micgra Telehealth Lllp accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Micgra Telehealth Lllp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Micgra Telehealth Lllp was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.