Active NPI
Carole Jane Worthington, NP-C
- Adult Health Nurse Practitioner
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5006836
- Practice address
- 5407 Skylane Drive
Geriatric Neuropsychiatry Services, PLLC
Durham, NC 27704-3953 - Phone
- (919) 682-0323
- Fax
- (919) 687-7649
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 196026 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 5006836 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 5006836 | NC | Primary |
Addresses
Primary practice location
5407 Skylane Drive
Geriatric Neuropsychiatry Services, PLLC
Durham, NC 27704-3953
Mailing address
P. O. Box 61447
Geriatric Neuropsychiatry Services, PLLC
Durham, NC 27715-1447
Phone (919) 682-0323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196026 | NC | MD | Registered Nurse |
| 5006836 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opportunities Industrialization Center, Inc. | Current | Accepting new patients | |
| Opportunities Industrialization Center, Inc | Current | Accepting new patients | |
| Sovran Senior Living, LLC | Past | Accepting new patients |
Locations
90 Guardian Ct
Rocky Mount, NC 27804
Phone (252) 212-3350
Interoperability endpoints
- cworthington1219863@direct.unc.nchie.net
Organizations & group practices 3
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.
-
dba Oic Family Medical Center Guardian Court
- Federally Qualified Health Center (FQHC)
- Rocky Mount, NC
- NPI 1396103305
-
dba Oic Family Medical Center LTC
- Federally Qualified Health Center (FQHC)
- Rocky Mount, NC
- NPI 1932923950
-
dba Waylin Life Care Center
- Assisted Living Facility
- Mount Olive, NC
- NPI 1508134685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1184043721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 61447",
"address_2": "GERIATRIC NEUROPSYCHIATRY SERVICES, PLLC",
"city": "DURHAM",
"state": "NC",
"postal_code": "277151447",
"telephone_number": "919-682-0323",
"fax_number": "919-687-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5407 SKYLANE DRIVE",
"address_2": "GERIATRIC NEUROPSYCHIATRY SERVICES, PLLC",
"city": "DURHAM",
"state": "NC",
"postal_code": "277043953",
"telephone_number": "919-682-0323",
"fax_number": "919-687-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHINGTON",
"first_name": "CAROLE",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "196026",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5006836",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5006836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.