STACY LYNN WHITWORTH FNP-BC
NPI 1093185829
Nurse Practitioner - Family in Savannah, GA

Q: What is Stacy Whitworth's NPI number?

The NPI number for Stacy Whitworth is 1093185829. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Q: What is Stacy Whitworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Whitworth was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 06, 2015PECOS Enrolled

4 E JACKSON BLVD, SAVANNAH, GA 31405(912) 355-1010(912) 351-3641 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Stacy Lynn Whitworth Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY LYNN WHITWORTH FNP-BC (NPI 1093185829) is an individual family provider in Savannah, Georgia, licensed in South Carolina (21687) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1093185829

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACY LYNN WHITWORTHCredential: FNP-BC

Location Address4 E JACKSON BLVDSavannah, GA 31405-5810

Mailing Address914 Reynolds RdBarnwell, SC 29812-6358 · (803) 259-5311 · Fax (803) 259-5196

Phone(912) 355-1010

Fax(912) 351-3641

Sole ProprietorNo

Enumeration DateOctober 6, 2015

Last NPPES UpdateMarch 17, 2018

✔ NPI 1093185829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in SC · 21687✔ Licensed in GA · 196303

4 E JACKSON BLVD, Savannah, GA 31405

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Secondary Practice Location 1

Location 14 E Jackson BlvdSavannah, GA 31405-5810 · Phone (912) 355-1010 ext. 2226 · Fax (912) 351-3641

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Lynn Whitworth Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Stacy Whitworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Imaging Solutions LLC

0.5 mi

Radiology

503 EISENHOWER DR
Savannah, GA 31406

Reassigned Medicare billing, Georgia enrollment
51 clinicians in this Medicare group

NPI 1114263456 (912) 355-6255

Community Care Health Network LLC

433 mi

Nurse Practitioner

424 CHURCH ST STE 220
Nashville, TN 37219

Reassigned Medicare billing, Georgia enrollment
274 clinicians in this Medicare group

NPI 1619368842 (877) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIKHALA JUNO MORIAH JOHNS PA

Physician Assistant (Surgical)