Individual provider Active NPI

Yvona Butts, FNP-C

  • Family Nurse Practitioner
  • Covington, GA
National Provider Identifier
1144834284
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN208406 Issued in GA
Practice address
2963 Fairview Rd
Covington, GA 30016-1125
Phone
(478) 443-0379
NPI assigned
Sep 5, 2020
Last updated
Sep 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN208406 GA Primary

Addresses

Primary practice location

2963 Fairview Rd
Covington, GA 30016-1125

Mailing address

2963 Fairview Rd
Covington, GA 30016-1125
Phone (478) 443-0379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123001750 GA Practitioner - Nurse Practitioner 8325459381 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN208406GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Medical Consulting, P.C. CurrentSince Jan 12, 2023 Accepting new patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Aug 8, 2023 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Aug 8, 2023 Accepting new patients
Physiatry Consultants of Ga LLC CurrentSince Mar 1, 2024 Accepting new patients
Resurgia Health Solutions PC CurrentSince Apr 11, 2022 Accepting new patients
Department of Behavioral Health and Developmental Disabilities Current Accepting new patients
Piedmont Medical Care Corporation CurrentSince Jul 25, 2022 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Sep 26, 2024 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

1100 Peachtree St NE
Ste 200
Atlanta, GA 30309
Phone (404) 445-5304

3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

6175 Newton Dr NE
Covington, GA 30014
Phone (770) 787-5600

415 Airport Rd
Griffin, GA 30224
Phone (770) 227-8636

3460 Powder Springs Rd
Powder Springs, GA 30127
Phone (770) 439-9199

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1144834284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 FAIRVIEW RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161125",
            "telephone_number": "478-443-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 FAIRVIEW RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300161125",
            "telephone_number": "478-443-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "YVONA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-05",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN208406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.