NPIMap

Individual provider Active NPI

Benjamin Butler, MD

  • Pulmonary Disease Physician
  • Athens, GA
National Provider Identifier
1245624279
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
92980 Issued in GA
Practice address
3320 Old Jefferson Rd Ste 200a
Athens, GA 30607-1478
Phone
(706) 549-5560
Fax
(706) 543-2593
NPI assigned
Mar 27, 2015
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.36493 AL
Pulmonary Disease Physician 207RP1001X 92980 GA Primary

Addresses

Primary practice location

3320 Old Jefferson Rd Ste 200a
Athens, GA 30607-1478

Mailing address

3320 Old Jefferson Rd Ste 200a
Athens, GA 30607-1478
Phone (706) 549-5560

Other practice location 1

2055 E South Blvd Ste 202
Montgomery, AL 36116
Phone (334) 284-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815002934 GA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0042520421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Medical College of Georgia School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3320 Old Jefferson Rd
Athens, GA 30607-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
73.45
Promoting interoperability
100
Improvement activities
40
Cost
80.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Pulmonary and Allergy, P.C. Pulmonary Disease CurrentSince Aug 8, 2022 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
Healthyconnect of Atlanta Internal Medicine PastSince Oct 1, 2021 Accepting new patients

Locations

3320 Old Jefferson Rd
Bldg 200
Athens, GA 30607
Phone (706) 549-5560

3320 Old Jefferson Rd
Ste 200
Athens, GA 30607
Phone (706) 549-5560

3320 Old Jefferson Rd
Ste 200A
Athens, GA 30607
Phone (706) 549-5560

Interoperability endpoints

  • Direct secure messaging: bbutler143600@direct.carilionclinic.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1245624279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD STE 200A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071478",
            "telephone_number": "706-549-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD STE 200A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071478",
            "telephone_number": "706-549-5560",
            "fax_number": "706-543-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 E South Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "36116",
            "country_code": "US",
            "telephone_number": "334-284-5211",
            "fax_number": "334-284-5216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.36493",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "92980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.