Wandle Keith Butler, PAC
NPI 1689897209ActiveIndividual· Physician Assistant· Douglas, GA
Listed on the HHS-OIG exclusion list since May 2023 (1128a4). Physician Assistant (PAC) in Douglas, Georgia, licensed in GA, with an NPI issued in April 2007.
Overview
| NPI | 1689897209 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Apr 11, 2007 |
| Last updated in NPPES | Nov 9, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 003196 | GA |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Wandle Keith Butler · Physician Assistant | 1128a4 | May 18, 2023 | Jesup, GA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Listed (NPI) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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