Candace Butts, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

139305 Issued in GA

Practice address

974 Klondike CT SW Ste 102
Conyers, GA 30094-5185

Phone

(678) 680-3380

NPI assigned

Dec 15, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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

• Serenity Haven Hospice Care LLC

  • Administrator Registered Nurse
  • Conyers, GA
  • NPI 1043104276
  NPD Authorized official
• True Nest LLC

  • In Home Supportive Care Agency
  • Covington, GA
  • NPI 1407727118

  Multi-Specialty

  NPD Authorized official
• Glo Connect LLC

  • Secured Medical Transport (VAN)
  • Conyers, GA
  • NPI 1780533539
  NPD

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1245194109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 KLONDIKE CT SW STE 102",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945185",
            "telephone_number": "678-680-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 KLONDIKE CT SW STE 102",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945185",
            "telephone_number": "678-680-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "CANDACE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "139305",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "139305",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "139305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katey Alison Burroughs, CNM
• Business Intelligence Technology (Velocity Physical Therapy)
• Busy Bee Kids Dental LLC
• Chase Damaiya Butler
• Kiera Jenell Butler
• C & a W (SC) Limited Liability Company (Grace Home Care & Behavioral Services)
• C Berstecher Consulting LLC
• C H Martin Company
• Bania Gabriela Calero, MD
• Calm the Spirit Wellness Center, LLC

• Administrator Registered Nurse in Conyers, GA
• Providers in Conyers, GA by specialty
• Administrator Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.