Individual provider Active NPI

Chauncey Ruthienee Butler, CNP

  • Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1982758314
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
GAA-NP001729 Issued in GA
Practice address
595 Hurricane Shoals Rd NW Ste 301
Lawrenceville, GA 30046-8769
Phone
(470) 325-1280
Fax
(678) 701-9857
NPI assigned
Jan 23, 2007
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP08561 OH
Nurse Practitioner 363L00000X GAA-NP001729 GA Primary

Addresses

Primary practice location

595 Hurricane Shoals Rd NW Ste 301
Lawrenceville, GA 30046-8769

Mailing address

595 Hurricane Shoals Rd NW Ste 301
Lawrenceville, GA 30046-8769
Phone (470) 325-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051230000672 OH Practitioner - Nurse Practitioner 5890717052 Reassigns benefits to 1 organization
I20240306000129 GA Practitioner - Nurse Practitioner 5890717052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians

Practice addresses (Care Compare)

595 Hurricane Shoals Rd NW
Suite 301
Lawrenceville, GA 30046-8769
Phone (470) 325-1280

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP08561OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 27, 2010 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 27, 2010 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Feb 20, 2024 Accepting new patients
Grantriverside Medical Care Foundation, Inc Past Accepting new patients
Orthopedic Trauma Services LTD Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

595 Hurricane Shoals Rd NW
Ste 301
Lawrenceville, GA 30046
Phone (470) 325-1280

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1299 Olentangy River Rd
#103
Columbus, OH 43212
Phone (614) 566-4278

3545 Olentangy River Rd
Ste 501
Columbus, OH 43214
Phone (614) 566-2714

3555 Olentangy River Rd
Ste 4050
Columbus, OH 43214
Phone (614) 566-2727

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

Organizations & group practices 7

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1982758314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS RD NW STE 301",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468769",
            "telephone_number": "470-325-1280",
            "fax_number": "678-701-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 HURRICANE SHOALS RD NW STE 301",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468769",
            "telephone_number": "470-325-1280",
            "fax_number": "678-701-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CHAUNCEY",
        "middle_name": "RUTHIENEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP08561",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "GAA-NP001729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.