Ms Daphene Luvata Kimball-butler, RNPCMCLCSANE - Registered Nurse in Stockbridge, GA

Ms Daphene Luvata Kimball-butler, RNPCMCLCSANE is a Registered Nurse - Community Health based in Stockbridge, Georgia. Ms Daphene Luvata Kimball-butler is licensed to practice in Georgia (license number RN136141) and her current practice location is 4778 N Henry Blvd, Stockbridge, Georgia. She can be reached at her office (for appointments etc.) via phone at (706) 650-5793.

NPI number for Ms Daphene Luvata Kimball-butler is 1669448643 and her current mailing address is 40 Blake Ave, Porterdale, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669448643.

Contact Information

Ms Daphene Luvata Kimball-butler, RNPCMCLCSANE
4778 N Henry Blvd,
Stockbridge, GA 30281-3566
(706) 650-5793
(770) 786-2223

Map and Direction




Provider's Profile

Full NameMs Daphene Luvata Kimball-butler
GenderFemale
SpecialityRegistered Nurse - Community Health
Location4778 N Henry Blvd, Stockbridge, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669448643
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 01/25/2010

Medical Identifiers

Medical identifiers for Ms Daphene Luvata Kimball-butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669448643NPI-NPPES
000847459BMedicaidGA
000847459AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1500XRegistered Nurse - Community Health RN136141 (Georgia)Primary
163WC0400XRegistered Nurse - Case Management RN136141 (Georgia)Secondary
163WL0100XRegistered Nurse - Lactation Consultant RN136141 (Georgia)Secondary
163WM0102XRegistered Nurse - Maternal Newborn RN136141 (Georgia)Secondary
163WC1600XRegistered Nurse - Continuing Education/staff Development RN136141 (Georgia)Secondary
163WW0000XRegistered Nurse - Wound Care RN136141 (Georgia)Secondary
163WC0400XRegistered Nurse - Case Management R73283 (South Carolina)Secondary
163WC1500XRegistered Nurse - Community Health R73283 (South Carolina)Secondary
163WL0100XRegistered Nurse - Lactation Consultant R73283 (South Carolina)Secondary
163WM0102XRegistered Nurse - Maternal Newborn R73283 (South Carolina)Secondary
163WC1600XRegistered Nurse - Continuing Education/staff Development R73283 (South Carolina)Secondary
163WX0002XRegistered Nurse - Obstetric, High-risk R73283 (South Carolina)Secondary
163WP1700XRegistered Nurse - Perinatal R73283 (South Carolina)Secondary
163WW0000XRegistered Nurse - Wound Care R73283 (South Carolina)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Daphene Luvata Kimball-butler is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Daphene Luvata Kimball-butler, RNPCMCLCSANE
40 Blake Ave,
Porterdale, GA 30014-5016

Ph: (706) 650-5793
Ms Daphene Luvata Kimball-butler, RNPCMCLCSANE
4778 N Henry Blvd,
Stockbridge, GA 30281-3566

Ph: (706) 650-5793

Reviews and Comments


Registered Nurse Nurses in Stockbridge, GA

Alice Gross, RNFA
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Medicare: Not Enrolled in Medicare
Practice Location: 919 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 770-389-0446    Fax: 770-389-3530
Mrs. Kyndra Lenee Ellis, RN, NNP
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Medicare: Medicare Enrolled
Practice Location: 443 Gresham Dr, Stockbridge, GA 30281
Phone: 678-756-1465    Fax: 678-756-1465
Maria Morton, REGISTERED NURSE
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Practice Location: 40 Melissa Dr, Stockbridge, GA 30281
Phone: 678-755-7369    
Helen M V Gray,
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Medicare: Not Enrolled in Medicare
Practice Location: 145 Titan Rd, Stockbridge, GA 30281
Phone: 770-573-9990    Fax: 770-573-9993
Lindsay Rebecca Malone,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 800-475-6236    
Mrs. Mercy A. Ekpoudom, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 305 Saint Pauls Ct, Stockbridge, GA 30281
Phone: 678-608-7151    Fax: 678-289-9256
Martha Michelle Moore,
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: Piedmont Henry Hospital, 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 678-575-7992    

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