Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keandre Butts, CAA

Individual provider Anesthesiologist Assistant · NPI 1902416308

Keandre Butts, CAA is an Anesthesiology Assistant in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2020, 6 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2020
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Practice location Address checks out

500 Peachtree St NE
Atlanta, GA 30308-3109
Phone: (470) 295-5733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 10001 (GA)

Record details

NPI number1902416308
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address45 Long Creek Dr, Covington, GA 30016-7725

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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