Organization Active NPI

Jeffery M Butler MD PC

  • Surgery Physician
  • Hazlehurst, GA
National Provider Identifier
1851778823
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JEFFERY M BUTLER MD PC
Practice address
11 Johnson St
Hazlehurst, GA 31539-6243
Phone
(800) 367-0816
Fax
(912) 705-6867
NPI assigned
Apr 29, 2015
Last updated
Aug 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Jeffery Miles Butler, MD
Title
Owner
Phone
(912) 278-3510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X GA Primary
General Practice Physician 208D00000X GA

Addresses

Primary practice location

11 Johnson St
Hazlehurst, GA 31539-6243

Mailing address

PO Box 1166
Baxley, GA 31515-1166
Phone (912) 705-6866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1851778823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1166",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315151166",
            "telephone_number": "912-705-6866",
            "fax_number": "912-705-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JOHNSON ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396243",
            "telephone_number": "800-367-0816",
            "fax_number": "912-705-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY M BUTLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-278-3510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.