MR. WANDLE KEITH BUTLER PAC
NPI 1689897209
Physician Assistant in Douglas, GA

Active since April 11, 2007
306 WESTSIDE DR, DOUGLAS, GA 31533(912) 383-7826(912) 383-7299 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2016, Nov 3, 2016 (2 updates tracked since 2016).

About Mr. Wandle Keith Butler Pac NPPES

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

MR. WANDLE KEITH BUTLER PAC (NPI 1689897209) is an individual physician assistant in Douglas, Georgia, licensed in Georgia (003196) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1689897209
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WANDLE KEITH BUTLERCredential: PAC
Location Address306 WESTSIDE DRDouglas, GA 31533-3530
Mailing Address410 Shirley AveDouglas, GA 31533-2002 · (912) 260-1206 · Fax (912) 383-7820
Fax(912) 383-7299
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateNovember 9, 20162 updates tracked since enumeration
NPI 1689897209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 003196
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

306 WESTSIDE DR, Douglas, GA 31533

Other Identifiers 2

Medicare PIN202I976980GA
Medicaid100000954CGA

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
306 WESTSIDE DR
DOUGLAS, GA 31533
Internal Medicine
306 WESTSIDE DR
DOUGLAS, GA 31533
Nurse Practitioner (Family)
306 WESTSIDE DR
DOUGLAS, GA 31533
Internal Medicine
306 WESTSIDE DR
DOUGLAS, GA 31533
Nurse Practitioner (Family)
306 WESTSIDE DR
DOUGLAS, GA 31533
Nurse Practitioner (Family)
306 WESTSIDE DR
DOUGLAS, GA 31533
Nurse Practitioner (Family)
306 WESTSIDE DR
DOUGLAS, GA 31533

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 Wandle Butler's NPI number?

The NPI number for Wandle Butler is 1689897209. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Wandle Butler located?

Wandle Butler practices at 306 Westside Dr, Douglas, GA 31533. The listed phone number is (912) 383-7826.

What is Wandle Butler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Wandle Butler was last updated on November 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.