Individual provider Active NPI

Carole Jane Worthington, NP-C

  • Adult Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1184043721
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5006836 Issued in NC
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

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140819000966 NC Practitioner - Nurse Practitioner 4587881347 Reassigns benefits to 1 organization

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 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196026NCMDRegistered Nurse
5006836NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Opportunities Industrialization Center, Inc. CurrentSince Sep 30, 2024 Accepting new patients
Opportunities Industrialization Center, Inc CurrentSince Sep 30, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.