CONNOR JAMES BUTZ PHYSICIAN ASSISTANT
NPI 1821654617
Physician Assistant - Medical in Atlanta, GA

Q: What is Connor Butz's NPI number?

The NPI number for Connor Butz is 1821654617. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Q: What is Connor Butz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Connor Butz was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since May 16, 2019PECOS Enrolled

659 AUBURN AVE NE STE 156, ATLANTA, GA 30312(404) 888-0228(833) 941-5100 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2025, Nov 7, 2019, May 16, 2019 (3 updates tracked since 2019).

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About Connor James Butz Physician Assistant NPPES

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

CONNOR JAMES BUTZ PHYSICIAN ASSISTANT (NPI 1821654617) is an individual medical provider in Atlanta, Georgia, licensed in Georgia (12729) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821654617

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameCONNOR JAMES BUTZCredential: PHYSICIAN ASSISTANT

Location Address659 AUBURN AVE NE STE 156Atlanta, GA 30312-1976

Mailing Address659 Auburn Ave Ne Ste 156Atlanta, GA 30312-1976 · (404) 888-0228 · Fax (833) 941-5100

Phone(404) 888-0228

Fax(833) 941-5100

Sole ProprietorNo

Enumeration DateMay 16, 2019

Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1821654617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in GA · 12729✔ Licensed in DC · PA031613

Also ListedPhysician AssistantTaxonomy 363A00000X

659 AUBURN AVE NE STE 156, Atlanta, GA 30312

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor James Butz Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. RODRICK STEWART D.O

Family Medicine