Individual provider Active NPI

Wylene Satcher Worthen, REGISTERED NURSE

  • Nursing Care Agency
  • Milledgeville, GA
National Provider Identifier
1437624301
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Practice address
1800 N Ridge Dr Ste 1
Milledgeville, GA 31061-2258
Phone
(478) 456-9438
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1800 N Ridge Dr Ste 1
Milledgeville, GA 31061-2258

Mailing address

114 Sweetgum Dr NE
Milledgeville, GA 31061-9358
Phone (478) 456-9438

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preventive & Fitness Healthcare Agency, LLC CurrentSince Jan 8, 2023 Accepting new patients

Locations

1800 N Ridge Dr
Ste 1
Milledgeville, GA 31061
Phone (478) 295-2955

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.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1437624301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SWEETGUM DR NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310619358",
            "telephone_number": "478-456-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N RIDGE DR STE 1",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612258",
            "telephone_number": "478-456-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEN",
        "first_name": "WYLENE",
        "middle_name": "SATCHER",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.