Mark Whitworth

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

43608 Issued in AL

Practice address

30 Racquet Club Pkwy Ste a
Pelham, AL 35124-6185

Phone

(205) 971-1601

Fax

(205) 971-1620

NPI assigned

Apr 10, 2019

Last updated

Feb 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Tulane University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Hoover, AL, CCN 017153
• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104
• Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as apm

Quality

75.95

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9954/brand/1/csg/81/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/fhir/r4/
• Direct secure messaging: mark.whitworth.1@9954.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.

• Affinity Physician Services LLC

  • General Practice Physician
  • Birmingham, AL
  • NPI 1366485617
  Medicare reassignment Care Compare group NPD
• Affinity Orthopedic Specialists LLC

  dba Lemak Health

  • Orthopaedic Surgery Physician
  • Vestavia, AL
  • NPI 1215407226
  NPD (past)

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

• Affinity Hospital LLC

  dba Grandview Medical Center

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation
• BBH SBMC, LLC

  dba Baptist Health Shelby Hospital

  • General Acute Care Hospital
  • Alabaster, AL
  • NPI 1811341167
  Care Compare affiliation
• Comfort Care Home Health Services LLC

  dba Aveanna Home Health

  • Home Health Agency
  • Hoover, AL
  • NPI 1851350334
  Care Compare affiliation

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1902369523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RACQUET CLUB PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351246185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RACQUET CLUB PKWY STE A",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351246185",
            "telephone_number": "205-971-1601",
            "fax_number": "205-971-1620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1993 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725017309",
            "country_code": "US",
            "telephone_number": "870-698-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "43608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.whitworth.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "30 Racquet Club Pkwy Ste A",
            "city": "Pelham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351246185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ebony Whitby, LICSW
• Cory Beattie White, DMD
• Roderick White, D.C.
• Shannon White, LPC
• Stacey L White
• Grelier Wilkerson, LICSW
• Jennifer Edens Williams, OD
• Kristin Williams, SLP
• Mandy Leigh Williams
• Michael Seth Williams, O.D.

• Family Medicine Physician in Pelham, AL
• Providers in Pelham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.