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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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: July 19, 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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.