Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mindy Butler, PA-C

Individual provider Physician Assistant · NPI 1144841396

Mindy Butler, PA-C is a Physician Assistant in Jackson, Mississippi. Qualified in 2020, 6 years ago. Practices with Mississippi Burn Hand and Reconstruction Centers PC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and New York.

Years since qualifying
6
Licensed in
MS, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone: (855) 863-9595
Fax: (706) 868-8375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36 1st Ave, Boston, MA 02129-4557 — (347) 204-4293

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PS00583 (MS)
Physician Assistant Taxonomy 363A00000X · Licence 026091-01 (NY)

Record details

NPI number1144841396
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mississippi Burn Hand And Reconstruction Centers Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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