David Butler, P.A-C
Individual provider Active NPI Medical Physician Assistant · Palm Coast, FL
NPI 1124021704 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1124021704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA2669 (FL)
- Practice address
- 6 Office Park Dr
Palm Coast, FL 32137-3808 - Phone
- (386) 447-6615
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mediquick Urgent Care Centers Inc
Practice addresses (Care Compare)
140 Pinnacles Dr
Palm Coast, FL 32164-2322
Phone (386) 447-6615
6 Office Park Dr
Palm Coast, FL 32137-3808
Phone (386) 447-6615
Hospital & facility affiliations
- Breezy Hills Rehab and Care Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111221000281 | FL | Practitioner - Physician Assistant | 2668451196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA2669 | FL | Yes |
Addresses
Primary practice location
6 Office Park Dr
Palm Coast, FL 32137-3808
Mailing address
668 Lake Asbury Dr
Green Cove Springs, FL 32043-9551
Other providers in Palm Coast, FL
- Burke Collins Therapy, Inc
- Burke Collins Therapy, Inc
- Christine Laura Burke
- Nathan T Burks
- Alexander Buser
- Evangeline Diaz Butler
- Adam Buttrey
- By Faith Homemaker & Companion Services,Inc.
- Melanie E Cabales - Hayes
- Santiago Willman Calderon Perez
All providers in Palm Coast, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.