P Praxis·MD
● Active Type 1 · Individual

Elliott Butler, PA-C

Physician Assistant·Duluth, GA· NPI 1619959756 · Enumerated 2005 · 20 years on NPI
Butler is 1 of 7 physician assistant providers in Duluth and 1 of 640 in Georgia.
NPI age
20 years
Enumerated 2005-11-15
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-11-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
20 years
↑ 7 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
3400 McClure Bridge Rd, B201
Duluth, GA 300966675
📞 6789578801fax 6789578804
Mailing address
Po Box 3460
Duluth, GA 300960059
📞 6789578801fax 6789578804

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #000870 taxonomy 363AS0400X
  • Physician Assistant
    Definition to come...
    GA license #0044308 taxonomy 363AM0700X

Identifiers

TypeValueNotes
01 (GA) 202I975412 MEDICARE PTAN
01 (GA) 1619959756 NATIONAL PROVIDER IDENTIFIER
05 (GA) 100002796A

Practice context

Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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