P Praxis·MD
● Active Type 1 · Individual

MS. Daphene Luvata Kimball-Butler, RN.PCM.CLC.SANE.

Registered Nurse·Stockbridge, GA· NPI 1669448643 · Enumerated 2006 · 20 years on NPI
Kimball-Butler is 1 of 3 registered nurse providers in Stockbridge and 1 of 217 in Georgia.
NPI age
20 years
Enumerated 2006-02-28
Primary specialty
Registered Nurse
Plus 13 subspecialties
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2010-01-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 217 active registered nurse providers in Georgia.

NPI age
20 years
↑ 8 yr above median (12 yr)
State licenses
2 states
Top 97% — 2% of peers are multi-state
Subspecialties
7
In the 11% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
4778 N Henry Blvd
Stockbridge, GA 302813566
📞 7066505793fax 7707862223
Mailing address
40 Blake Ave
Porterdale, GA 300145016
📞 7066505793fax 7707862223

Specialties

  • Registered Nurse Primary
    Definition to come...
    GA license #RN136141SC license #R73283 taxonomy 163WC1500X
  • Registered Nurse
    Definition to come...
    GA license #RN136141SC license #R73283 taxonomy 163WC0400X
  • Registered Nurse
    Definition to come...
    GA license #RN136141SC license #R73283 taxonomy 163WL0100X
  • Registered Nurse
    Definition to come...
    GA license #RN136141SC license #R73283 taxonomy 163WM0102X
  • Registered Nurse
    Definition to come...
    GA license #RN136141SC license #R73283 taxonomy 163WC1600X
  • Registered Nurse
    Definition to come...
    GA license #RN136141SC license #R73283 taxonomy 163WW0000X
  • Registered Nurse
    Definition to come...
    SC license #R73283 taxonomy 163WX0002X
  • Registered Nurse
    Definition to come...
    SC license #R73283 taxonomy 163WP1700X

Identifiers

TypeValueNotes
05 (GA) 000847459B
05 (GA) 000847459A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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