CANDACE BUTTS RN NPI 1245194109

NPI Information

  • NPI: 1245194109
  • Provider Name: CANDACE BUTTS, RN
  • Classification: Registered Nurse - 163WA2000X
  • Specialization: Administrator
  • Entity Type: Individual
  • Address: 974 KLONDIKE CT SW STE 102
    CONYERS, GA
    ZIP 30094
  • Phone: (678) 680-3380

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NPI Details

Candace Butts, RN is an administrator registered nurse in Conyers, GA. Candace Butts, RN NPI is 1245194109. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

974 KLONDIKE CT SW STE 102
CONYERS, GA
ZIP 30094-185
Phone: (678) 680-3380

The enumeration date for this NPI number is 12/15/2025 and was last updated on 12/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral Practice139305GEORGIANo
2163WH0200XRegistered NurseHome Health139305GEORGIANo
3163WA2000XRegistered NurseAdministrator139305GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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