PHILLIP S. BUTCH DC, LLC
NPI 1609253087
Chiropractor in Villa Rica, GA

Active since May 05, 2015
514 W BANKHEAD HWY STE 300, VILLA RICA, GA 30180(770) 459-0035 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Phillip S. Butch Dc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP S. BUTCH DC, LLC (NPI 1609253087) is a healthcare organization registered as a chiropractor in Villa Rica, Georgia and active in the NPI registry since May 2015. The organization lists Phillip Butch, Owner, as its authorized official.

NPPES Registry Identity

NPI1609253087
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePHILLIP S. BUTCH DC, LLC
Location Address514 W BANKHEAD HWY STE 300Villa Rica, GA 30180-1737
Mailing Address514 W Bankhead Hwy Ste 300Villa Rica, GA 30180-1737 · (770) 459-0035
Organization SubpartNo
Authorized OfficialPhillip ButchOwner · (330) 501-7671
Enumeration DateMay 5, 2015
✔ NPI 1609253087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR009398
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
514 W BANKHEAD HWY STE 300, Villa Rica, GA 30180

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip S. Butch Dc, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phillip S. Butch Dc, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1730443789
514 W BANKHEAD HWY STE 300
Villa Rica, GA 30180
(330) 296-5619
0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip S. Butch Dc, LLC's NPI number?

The NPI number for Phillip S. Butch Dc, LLC is 1609253087. It was assigned to this organization in the NPPES registry on May 5, 2015.

Where is Phillip S. Butch Dc, LLC located?

Phillip S. Butch Dc, LLC is located at 514 W Bankhead Hwy Ste 300, Villa Rica, GA 30180. The listed phone number is (770) 459-0035.

What is Phillip S. Butch Dc, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Phillip S. Butch Dc, LLC enrolled in Medicare?

Yes. Phillip S. Butch Dc, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phillip S. Butch Dc, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Phillip S. Butch Dc, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phillip S. Butch Dc, LLC was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.