Individual provider Active NPI

Joel Butler, MD

  • Emergency Medicine Physician
  • Columbus, MS
National Provider Identifier
1326081985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11011 Issued in MS
Practice address
2520 5TH St N
Columbus, MS 39705-2008
Phone
(904) 805-1300
Fax
(904) 805-1302
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11011 MS Primary

Addresses

Primary practice location

2520 5TH St N
Columbus, MS 39705-2008

Mailing address

PO Box 75473
Baltimore, MD 21275-5473
Phone (904) 805-1300

Other identifiers 3

IdentifierTypeStateIssuer
00018912MedicaidMS
7306434BUTOtherMSALABAMA BLUE CROSS
P00196971OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014001022 MS Practitioner - Emergency Medicine 9436119328 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Emergency Services LLC CurrentSince Dec 15, 2019 Accepting new patients
United Emergency Services of Mississippi Emergency Medicine CurrentSince Nov 1, 2006 Accepting new patients
Winston County Medical Foundation Current Accepting new patients
Columbus Emergency Services, LLC Emergency Medicine Past Accepting new patients
Sterling Emergency Services of Mississippi, Inc Emergency Medicine Past Accepting new patients

Locations

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

17550 E Main St
Louisville, MS 39339
Phone (662) 446-1072

Interoperability endpoints

  • Direct secure messaging: jbutler44601@direct.bmhcc.org
  • Direct secure messaging: joel.butler.1@15070.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
BMH - Golden TriangleColumbus, MS, CCN 250100 Hospital Corporate Director Jan 14, 2013
BMH - Golden TriangleColumbus, MS, CCN 25S100 Hospital Corporate Director Jan 14, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100Reported as individual
Quality
88.62
Improvement activities
0
Cost
77.86

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326081985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75473",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755473",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052008",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "11011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018912",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BLUE CROSS",
            "identifier": "7306434BUT",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00196971",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.