Individual provider Active NPI

Michael Raymond Butzen, DNP

  • Acute Care Nurse Practitioner
  • Braselton, GA
National Provider Identifier
1760036776
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN-NP250536 Issued in GA
Practice address
1223 Friendship Rd.
BLDG. 400, Suite 100
Braselton, GA 30517
Phone
(678) 205-8387
Fax
(678) 808-1039
NPI assigned
Jul 29, 2019
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN-NP250536 GA Primary

Addresses

Primary practice location

1223 Friendship Rd.
BLDG. 400, Suite 100
Braselton, GA 30517

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228001640 GA Practitioner - Nurse Practitioner 3870987316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians

Practice addresses (Care Compare)

1223 Friendship Rd
BLDG 400 Suite 100
Braselton, GA 30517-5608
Phone (678) 205-8387

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.87 of 100Reported as group
Quality
84.34
Improvement activities
40
Cost
83.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP250536GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants, PC CurrentSince Jan 20, 2022 Accepting new patients
Georgia Urology PA Current Accepting new patients
Georgia Urology, PA CurrentSince Jun 23, 2025 Accepting new patients
Georgia Urology PA CurrentSince Jun 23, 2025 Accepting new patients

Locations

1270 Prince Ave
Ste 301
Athens, GA 30606
Phone (706) 475-4917

1223 Friendship Rd
Ste 100
Braselton, GA 30517
Phone (678) 205-8387

3625 Braselton Hwy
Ste 104
Dacula, GA 30019
Phone (678) 206-2111

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

5400 Laurel Springs Pkwy
Ste 1404
Suwanee, GA 30024
Phone (678) 347-2153

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIAABD
  • Direct secure messaging: michael.butzen.p1@direct.gupa.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1760036776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040",
            "fax_number": "678-808-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 FRIENDSHIP RD.",
            "address_2": "BLDG. 400, SUITE 100",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "30517",
            "telephone_number": "678-205-8387",
            "fax_number": "678-808-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZEN",
        "first_name": "MICHAEL",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "APRN-NP250536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

Verify at the official NPI Registry.