| Tyrone Butler, MD | |
|
2855 Old Highway 5, Blue Ridge, GA 30513-6248 | |
| (706) 632-3711 | |
| (706) 258-4146 |
| Full Name | Tyrone Butler |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 11 Years |
| Location | 2855 Old Highway 5, Blue Ridge, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861874612 | NPI | - | NPPES |
| 003278442C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD464568 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | 93993 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Burke Medical Center | Waynesboro, GA | Hospital |
| Washington County Regional Medical Center | Sandersville, GA | Hospital |
| Bleckley Memorial Hospital | Cochran, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Emergency Medical Services Consolidated, Llc | 4183871320 | 47 |
| Southland Cochran Emergency Medical Services Llc | 9638398027 | 17 |
| Southland Burke Emergency Medical Services, Llc | 9537547401 | 18 |
| Southland Consolidated Emergency Services Llc | 2860792066 | 65 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Hidden Valley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073516621 PECOS PAC ID: 5799768248 Enrollment ID: O20040608000289 |
| Entity Name | American Current Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710168117 PECOS PAC ID: 9739260019 Enrollment ID: O20080220000473 |
| Entity Name | Fort Oglethorpe Emergency Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174024376 PECOS PAC ID: 8527323633 Enrollment ID: O20180521000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrone Butler, MD 2855 Old Highway 5, Blue Ridge, GA 30513-6248 Ph: (706) 632-3711 | Tyrone Butler, MD 2855 Old Highway 5, Blue Ridge, GA 30513-6248 Ph: (706) 632-3711 |