JASMINE ALIZA BUTLER DDS
NPI 1326623661
Dentist - Pediatric Dentistry in Marietta, GA

Active since March 17, 2021PECOS Enrolled
2880 JOHNSON FERRY RD STE 100, MARIETTA, GA 30062(678) 813-2388 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jasmine Aliza Butler Dds NPPES

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

JASMINE ALIZA BUTLER DDS (NPI 1326623661) is an individual pediatric dentistry provider in Marietta, Georgia, licensed in Georgia (DN122636) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Douglasville.

NPPES Registry Identity

NPI1326623661
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJASMINE ALIZA BUTLERCredential: DDS
Location Address2880 JOHNSON FERRY RD STE 100Marietta, GA 30062-8368
Mailing Address2880 Johnson Ferry Rd Ste 100Marietta, GA 30062-8368 · (678) 813-2388
Sole ProprietorNo
Enumeration DateMarch 17, 2021
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
NPI 1326623661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in GA · DN122636
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2880 JOHNSON FERRY RD STE 100, Marietta, GA 30062

Secondary Practice Location 1

Location 13387 Highway 5Douglasville, GA 30135-6900 · Phone (678) 813-2388

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jasmine Aliza Butler Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jasmine Butler's NPI number?

The NPI number for Jasmine Butler is 1326623661. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Where is Jasmine Butler located?

Jasmine Butler practices at 2880 Johnson Ferry Rd Ste 100, Marietta, GA 30062. The listed phone number is (678) 813-2388.

What is Jasmine Butler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jasmine Butler enrolled in Medicare?

Yes. Jasmine Butler is registered in the Medicare PECOS enrollment system.

What insurance does Jasmine Butler accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jasmine Butler 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 Jasmine Butler was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.