Ronda M Worsham, RNMSNCS FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

12147 Issued in TN

Practice address

103 Redbud Dr Ste E
Portland, TN 37148-9918

Phone

(615) 325-1206

Fax

(615) 325-1245

NPI assigned

Sep 14, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portland MedicalGroup PAC ID 0840677316, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Nashville, TN, CCN 447206
• Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ronda.worsham.1@29601.direct.athenahealth.com

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.

• Portland Medical

  • Primary Care Clinic/Center
  • Portland, TN
  • NPI 1679230510
  Medicare reassignment Care Compare group NPD
• Rose Family Clinic

  • Family Medicine Physician
  • Westmoreland, TN
  • NPI 1215063334
  NPD
• Family and Childrens Clinic of Macon County

  • Internal Medicine Physician
  • Portland, TN
  • NPI 1518156926
  NPD (past)
• Portland Primary Care, LLC

  • Family Medicine Physician
  • Portland, TN
  • NPI 1225072473
  NPD (past)
• Trousdale Medical Clinic

  • Family Medicine Physician
  • Hartsville, TN
  • NPI 1669765442
  NPD (past)
• William D. Lyles, Jr., M.D. and Associates, PLLC

  • Family Medicine Physician
  • Hartsville, TN
  • NPI 1063444909
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comprehensive Home Healthcare Services LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Nashville, TN
  • NPI 1689622466
  Care Compare affiliation
• Hendersonville Hospital Corporation

  dba Tristar Hendersonville Medical Center

  • General Acute Care Hospital
  • Hendersonville, TN
  • NPI 1538114434
  Care Compare affiliation

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396840476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100B MALLARD SUNRISE DR E",
            "city": "WESTMORELAND",
            "state": "TN",
            "postal_code": "371863251",
            "telephone_number": "615-644-3000",
            "fax_number": "615-644-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 REDBUD DR STE E",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371489918",
            "telephone_number": "615-325-1206",
            "fax_number": "615-325-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Highway 52 Byp W",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "TN",
            "postal_code": "370831727",
            "country_code": "US",
            "telephone_number": "615-688-7353",
            "fax_number": "615-688-7355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORSHAM",
        "first_name": "RONDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RNMSNCS FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "12147",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "APN0000012147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Shane Whitworth, LPCA
• Madison Wigley
• Dawn Wilkinson, PH.D.
• Heather A Williams, PT
• Elizabeth Stewart Wood

• Nurse Practitioner in Portland, TN
• Providers in Portland, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.