Active NPI
Gary Tyler Butts, M.D.
- Internal Medicine Physician
- Mobile, AL
National Provider Identifier
1265896526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36631
- Practice address
- 1700 Spring Hill Ave
Mobile, AL 36604-1407 - Phone
- (251) 435-1200
- Fax
- (251) 435-6357
- NPI assigned
- Apr 12, 2016
- Last updated
- Jan 16, 2020
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36631 | AL | Primary |
Addresses
Primary practice location
1700 Spring Hill Ave
Mobile, AL 36604-1407
Mailing address
2451 Fillingim St., Res Box 7TH Floor
Mobile, AL 36617
Phone (251) 471-7207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Mississippi School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Diagnostic and Medical Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients |
Locations
1700 Spring Hill Ave
Ste 100
Mobile, AL 36604
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1447201066
-
- Multi-Specialty Clinic/Center
- Saraland, AL
- NPI 1568235000
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Infirmary HomeCare
- Home Health Agency
- Mobile, AL
- NPI 1710929294
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
dba Springhill Memorial Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1265896526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 FILLINGIM ST., RES BOX 7TH FLOOR",
"city": "MOBILE",
"state": "AL",
"postal_code": "36617",
"telephone_number": "251-471-7207",
"fax_number": "251-471-7468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 SPRING HILL AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366041407",
"telephone_number": "251-435-1200",
"fax_number": "251-435-6357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTS",
"first_name": "GARY",
"middle_name": "TYLER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "36631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.