Active NPI
George F. Wortham III, MD
- Obstetrics & Gynecology Physician
- Memphis, TN
National Provider Identifier
1326082785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 015328
- Practice address
- 6215 Humphreys Blvd
Suite 401
Memphis, TN 38120-2367 - Phone
- (901) 767-8448
- Fax
- (901) 684-6260
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 015328 | TN | Primary |
Addresses
Primary practice location
6215 Humphreys Blvd
Suite 401
Memphis, TN 38120-2367
Mailing address
PO Box 1000
Dept 375
Memphis, TN 38148-0375
Phone (901) 377-7079
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3010924 | Medicaid | TN | |
| 160027513 | Other | RAILROAD MEDICARE | |
| 49903 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015328 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwind Endoscopy Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Memphis, TN
- NPI 1245242817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1326082785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"address_2": "DEPT 375",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480375",
"telephone_number": "901-377-7079",
"fax_number": "901-255-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 HUMPHREYS BLVD",
"address_2": "SUITE 401",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202367",
"telephone_number": "901-767-8448",
"fax_number": "901-684-6260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHAM",
"first_name": "GEORGE",
"middle_name": "F.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "015328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3010924",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160027513",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "49903",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.