Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659509685 Individual Practitioner Male Practitioner

Dr. Cory C Butzon , MD

Pediatrics • Lagrange, GA

Professional Overview & Biography Verified Profile Summary

Dr. Cory Butzon, MD is a registered healthcare professional specializing in Pediatrics in Lagrange, GA. Practice services are available at 1514 VERNON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1514 Vernon Rd

Lagrange, GA 302404131

Telephone 7068122369
Fax 7068453194
Associated Practice Facility / Clinic
🏢 West Georgia Health System Facility NPI 1174506943

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lagrange, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Lagrange, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 068124

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License GA 003630

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003125382A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Catlyn Thigpen , DO

Internal Medicine

NPI 1083243307

Doctor of Osteopathic Medicine (D.O.)

NPI 1114366135

Doctor of Medicine (M.D.)

NPI 1134416894

Doctor of Medicine (M.D.)

Dr. Ahmed Moussa , MD

Family Medicine

NPI 1194989285

Doctor of Medicine (M.D.)

Emmanuela Irebuisi , NP

Nurse Practitioner - Gerontology

NPI 1558847970

Nurse Practitioner

Kathryn Ray , APRN

Nurse Practitioner - Family

NPI 1588017743

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2019

Pediatrics (License #003630 in GA)

NPI Profile Active November 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2016

Registered at 1514 VERNON RD, LAGRANGE, GA 302404131 (Tel: 7068122369)

📍
Updated Business Mailing Address November 10, 2016

Registered at 1514 VERNON RD, LAGRANGE, GA 302404131 (Tel: 7068122369)

👤
Provider Name / Credentials Updated November 10, 2016

Recorded as CORY BUTZON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2016

Pediatrics (License #068124 in GA)

🟢
Initial NPI Registration & Enumeration June 29, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659509685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2009
Last Update: October 31, 2019
Sole Proprietor: No

Mailing Address

1514 Vernon Rd

Lagrange, GA 302404131

Phone: 7068122369

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.