MR. JAMIE LEE BUTIKOFER (NPI# 1750468567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750468567 |
| Entity Type | Individual |
| Full Name | MR. JAMIE LEE BUTIKOFER |
| Credential | ATC |
| Practice Address |
171 Raider Cir Mount Airy GA 30563-3065 |
| Mailing Address |
Po Box 743 Demorest GA 30535 |
| Practice Telephone | 7067787161 |
| Practice Fax Number | 7067763020 |
| Mailing Telephone | 7067787161 |
| Mailing Fax Number | 7067763020 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT000323 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
171 RAIDER CIR |
| City | MOUNT AIRY |
| State | GA |
| Zip Code | 30563-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809323 | Morgan Long | Specialist/Technologist | 2059 Old Hwy 197 S, Mt. Airy, GA 30563 | 2018-11-07 |
| 1487159026 | Jaylen Frady | Physical Therapist | 1776 Toccoa Hwy, Mount Airy, GA 30563-1604 | 2018-03-27 |
| 1003385733 | James G Hamilton Jr Md LLC | Family Medicine | 4898 Highway 197, Mount Airy, GA 30563-2442 | 2018-11-26 |
| 1174911432 | Lindsay Marie Dilbeck | Specialist/Technologist | 2059 Highway 197, Mount Airy, GA 30563-3441 | 2015-01-08 |
| 1871815860 | Monica Cantrell Parker | Speech-Language Pathologist | 229 Thornbriar Way, Mount Airy, GA 30563-3546 | 2010-02-18 |
| 1891272704 | Charlene Frye | Case Manager/Care Coordinator | 631 Day Star Ct, Mount Airy, GA 30563-4152 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282913 | Laurie Anne Mombay | Counselor | 6086 Yona Ct, Mount Airy, MD 21771-7446 | 2020-10-10 |
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1285248120 | Rachel Lynn Hauptman | Nurse Practitioner | 2945 Lonesome Dove Rd, Mount Airy, MD 21771-8025 | 2020-09-08 |
| 1336751783 | Tamara Roberta Layne | Speech-Language Pathologist | 1525 Searchlight Way, Mount Airy, MD 21771-7708 | 2020-08-18 |
| 1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
| 1255950325 | Northern Hospital District of Surry County | Clinic/Center | 119 Welch Rd Ste A, Mount Airy, NC 27030-5274 | 2020-04-09 |
| 1255966735 | David Lee Lowery | Pharmacist | 1102 Midvale Ave, Mount Airy, MD 21771-5522 | 2020-03-05 |
| 1831723451 | Sarena Mae Ferguson | Counselor | 602 Center St Ste 209, Mount Airy, MD 21771-7445 | 2020-02-24 |
| 1518599679 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-02-06 |
| 1588296610 | Retina First LLC | Ophthalmology | 1502 S Main St Ste 305, Mount Airy, MD 21771-5374 | 2020-02-06 |
| Find all providers in MOUNT AIRY | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246324 | Rhianna Jean Lapen | Specialist/Technologist | 4203 Rolling Acres Dr, Mount Airy, MD 21771-4611 | 2018-08-29 |
| 1396292769 | Michael Monahan | Specialist/Technologist | 4396 Moleton Dr, Mount Airy, MD 21771-4808 | 2016-09-02 |
| 1174911432 | Lindsay Marie Dilbeck | Specialist/Technologist | 2059 Highway 197, Mount Airy, GA 30563-3441 | 2015-01-08 |
| 1922496777 | Lena Catherine Scott | Specialist/Technologist | 325 Grace St, Mount Airy, NC 27030-2909 | 2015-01-02 |
| 1215353628 | Carolyn Hayden | Specialist/Technologist | 1306 Longbow Rd, Mount Airy, MD 21771-5615 | 2014-03-10 |
| 1669599437 | Karen Lynn Skidmore | Specialist/Technologist | 13409 Sam Hill Cir, Mount Airy, MD 21771-3947 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455959 | Mary Lee Richardson | Specialist/Technologist | 1591 Glenn Pl Sw, Mableton, GA 30126-1170 | 2020-10-25 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT AIRY |
| Zip Code | 30563 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.