Active NPI
James A. Butts Jr., MD
- Surgery Physician
- Gainesville, GA
National Provider Identifier
1164401360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036508
- Practice address
- 725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834 - Phone
- (770) 536-2323
- Fax
- (770) 536-4947
- NPI assigned
- Jan 16, 2006
- Last updated
- Aug 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036508 | GA | Primary |
Addresses
Primary practice location
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000075578D | Medicaid | GA | |
| 340823 | Other | GA | WELLCARE |
| 20030423 | Other | GA | RR MEDICARE-GRP # CC4177 |
| 000075578E | Medicaid | GA | |
| 10045148 | Other | GA | AMERIGROUP |
| 52451285 | Other | GA | BCBS |
| 1281400 | Other | GA | CIGNA |
| 4567385 | Other | GA | AETNA |
| 1707016 | Other | GA | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1164401360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305030658",
"telephone_number": "770-718-1122",
"fax_number": "770-535-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013834",
"telephone_number": "770-536-2323",
"fax_number": "770-536-4947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTS",
"first_name": "JAMES",
"middle_name": "A.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "036508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000075578D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "340823",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE-GRP # CC4177",
"identifier": "20030423",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000075578E",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10045148",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52451285",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1281400",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4567385",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1707016",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.