Organization Active NPI

Draughn Butler LLC

  • Multi-Specialty Clinic/Center
  • Lakeland, FL
National Provider Identifier
1396217089
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DRAUGHN BUTLER LLC
Practice address
2033 E Edgewood Dr Ste 4
Lakeland, FL 33803-3660
Phone
(863) 852-6760
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Mr. Gregory Allen Draughn
Title
President
Phone
(863) 213-9560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2033 E Edgewood Dr Ste 4
Lakeland, FL 33803-3660

Mailing address

4415 Florida National Dr Ste 209
Lakeland, FL 33813-1571
Phone (863) 213-9560

Other names 1

  • PSYCHPROS Doing business as

National Provider Directory

National Provider Directory

Locations

4415 Florida National Dr
Ste 209
Lakeland, FL 33813

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1396217089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 FLORIDA NATIONAL DR STE 209",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131571",
            "telephone_number": "863-213-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 E EDGEWOOD DR STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033660",
            "telephone_number": "863-852-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAUGHN BUTLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "DRAUGHN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-213-9560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSYCHPROS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PSYCHPROS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.