Active NPI
Nena Worsham, FNP-C
- Family Nurse Practitioner
- McDonough, GA
National Provider Identifier
1912351438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN151016
- Practice address
- 80 Vinings Dr
McDonough, GA 30253-5994 - Phone
- (770) 302-6780
- NPI assigned
- Apr 21, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN151016 | GA | Primary |
Addresses
Primary practice location
80 Vinings Dr
McDonough, GA 30253-5994
Mailing address
603 Deep Spring CT
Stockbridge, GA 30281-5883
Phone (770) 231-3547
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN151016 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1912351438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 DEEP SPRING CT",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815883",
"telephone_number": "770-231-3547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 VININGS DR",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302535994",
"telephone_number": "770-302-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORSHAM",
"first_name": "NENA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN151016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.