Individual provider Active NPI

Mary Elizabeth Butts, MD

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1982260758
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
68969 Issued in TN
Practice address
Bluffs OBGYN
1727 Kirby Pkwy
Memphis, TN 38120
Phone
(901) 767-3810
NPI assigned
May 16, 2019
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 68969 TN Primary

Addresses

Primary practice location

Bluffs OBGYN
1727 Kirby Pkwy
Memphis, TN 38120

Mailing address

Bluffs City OBGYN
1727 Kirby Pkwy Ste 200
Memphis, TN 38120
Phone (901) 767-3810

Other practice location 1

University of Tennessee
920 Madison Avenue Suite 447
Memphis, TN 38163
Phone (901) 448-7479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230915001962 TN Practitioner - Obstetrics/Gynecology 0547624074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone (571) 982-6636

6215 Humphreys Blvd
Suite 200
Memphis, TN 38120-2382
Phone (901) 512-6086

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68969TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern OB, LLC Obstetrics & Gynecology CurrentSince Mar 17, 2024 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Mar 26, 2024 Accepting new patients
Women's Care Center of Memphis, Mpllc Obstetrics & Gynecology CurrentSince Aug 7, 2023 Accepting new patients
Privia Medical Group Tennessee LLC Obstetrics & Gynecology CurrentSince Mar 26, 2024 Accepting new patients
Women's Care Center of Memphis, Mpllc Obstetrics & Gynecology CurrentSince Aug 7, 2023 Accepting new patients

Locations

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1727 Kirby Pkwy
Memphis, TN 38120
Phone (901) 767-3810

1727 Kirby Pkwy
Ste 200
Memphis, TN 38120
Phone (901) 507-1029

6215 Humphreys Blvd
Ste 200
Memphis, TN 38120
Phone (901) 512-6086

Interoperability endpoints

  • Direct secure messaging: mary.butts.1@25094.direct.athenahealth.com
  • Direct secure messaging: mbutts30106@mlh.direct-ci.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 4

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1982260758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLUFFS CITY OBGYN",
            "address_2": "1727 KIRBY PKWY STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-767-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLUFFS OBGYN",
            "address_2": "1727 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-767-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University of Tennessee",
            "address_2": "920 Madison Avenue Suite 447",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38163",
            "country_code": "US",
            "telephone_number": "901-448-7479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "68969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.