Individual provider Active NPI

Anne Butler, M.D.

  • Internal Medicine Physician
  • Edgewater, FL
National Provider Identifier
1629422613
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME164159 Issued in FL
Practice address
2102 S Ridgewood Ave Ste 1
Edgewater, FL 32141-4225
Phone
(386) 301-4865
Fax
(386) 301-4866
NPI assigned
Apr 16, 2016
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME164159 FL Primary

Addresses

Primary practice location

2102 S Ridgewood Ave Ste 1
Edgewater, FL 32141-4225

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 269-2028

Other practice location 1

412 W John St Ste B
Carson City, NV 89703
Phone (775) 445-7476

Other practice location 2

1855 Knox McRae Dr
Titusville, FL 32780-5492
Phone (321) 269-2028

Other practice location 3

1978 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 873-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230925001945 FL Practitioner - Internal Medicine 0345521050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

13940 N US Hwy 441
Suite 102
Lady Lake, FL 32159-8909
Phone (352) 751-9900

2102 S Ridgewood Ave
Suite 1
Edgewater, FL 32141-4225
Phone (386) 301-4865

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME164159FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince Nov 6, 2023 Accepting new patients

Locations

2102 S Ridgewood Ave
Ste 1
Edgewater, FL 32141
Phone (386) 301-4865

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: anne.butler@sl.eclinicaldirectplus.com

Organizations & group practices 1

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 1

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": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1629422613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-269-2028",
            "fax_number": "321-264-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 S RIDGEWOOD AVE STE 1",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321414225",
            "telephone_number": "386-301-4865",
            "fax_number": "386-301-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 W John St Ste B",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "89703",
            "country_code": "US",
            "telephone_number": "775-445-7476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 Knox McRae Dr",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327805492",
            "country_code": "US",
            "telephone_number": "321-269-2028",
            "fax_number": "321-264-0730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1978 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703637055",
            "country_code": "US",
            "telephone_number": "985-873-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME164159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

Verify at the official NPI Registry.