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ELLIOTT BUTLER PA-C
NPI 1619959756
Physician Assistant - Surgical in Duluth, GA

Active since November 15, 2005
3400 MCCLURE BRIDGE RD, B201, DULUTH, GA 30096(678) 957-8801(678) 957-8804 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elliott Butler Pa-c NPPES

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

ELLIOTT BUTLER PA-C (NPI 1619959756) is an individual surgical provider in Duluth, Georgia, licensed in Georgia (000870) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1619959756
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameELLIOTT BUTLERCredential: PA-C
Location Address3400 MCCLURE BRIDGE RD, B201Duluth, GA 30096-6675
Mailing AddressPo Box 3460Duluth, GA 30096-0059 · (678) 957-8801 · Fax (678) 957-8804
Phone(678) 957-8801
Fax(678) 957-8804
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateNovember 24, 2009
✔ NPI 1619959756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 000870
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0044308 (GA)
3400 MCCLURE BRIDGE RD, Duluth, GA 30096
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Other Identifiers 5

Medicare ID-Type Unspecified97WCDFJGA
Other1619959756GA · National Provider Identifier
Medicare UPINP69595GA
Other202I975412GA · Medicare Ptan
Medicaid100002796AGA

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALPHA RECOVERY GROUP INC
Clinic/Center (Methadone)
3400 MCCLURE BRIDGE RD, BUILDING C, SUIT A&B
DULUTH, GA 30096
Gwinnett County (770) 896-6730
MBS CONNECTION LLC
Clinic/Center (Health Service)
3400 MCCLURE BRIDGE RD, BLDG F, STE A
DULUTH, GA 30096
Gwinnett County (678) 371-6463
COMMUNITY NEUROLOGICAL CLINIC
Specialist
3400 MCCLURE BRIDGE RD, SUITE D401
DULUTH, GA 30096
Gwinnett County (770) 622-2230
DR. RAMANI GOWDUCHERUVU DDS
Dentist (Oral and Maxillofacial Surgery)
3400 MCCLURE BRIDGE RD, BLDG G, SUITES B AND C
DULUTH, GA 30096
Gwinnett County (770) 476-8576
SURGICAL ASSISTANTS OF AMERICA, INC.
Surgery
3400 MCCLURE BRIDGE RD, BUILDING B201
DULUTH, GA 30096
Gwinnett County (678) 957-8801
NORTH GEORGIA ORAL AND FACIAL SURGERY LLC
Dentist (Oral and Maxillofacial Surgery)
3400 MCCLURE BRIDGE RD, BLDG G, SUITES B AND C
DULUTH, GA 30096
Gwinnett County (770) 476-8576
SURGICAL
Physician Assistant (Surgical)
3400 MCCLURE BRIDGE RD, BUILDING B
DULUTH, GA 30096
Gwinnett County (678) 957-8801
ALLYS SERNIOR SERVICES, INC.
Health Maintenance Organization
3400 MCCLURE BRIDGE RD, BUILDING C-301
DULUTH, GA 30096
Gwinnett County (404) 839-3631

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 Elliott Butler's NPI number?

The NPI number for Elliott Butler is 1619959756. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Elliott Butler located?

Elliott Butler practices at 3400 Mcclure Bridge Rd B201, Duluth, GA 30096. The listed phone number is (678) 957-8801.

What is Elliott Butler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Elliott Butler was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.