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JESSE LEE WORSHAM MD
NPI 1194216663
Psychiatry & Neurology - Child & Adolescent Psychiatry in Southlake, TX

Active since May 21, 2018PECOS Enrolled
211 E SOUTHLAKE BLVD STE 107, SOUTHLAKE, TX 76092(817) 670-3857(817) 259-2669 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2024, Aug 16, 2022, Jul 22, 2022 and 1 more (4 updates tracked since 2018).

About Jesse Lee Worsham Md NPPES

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

JESSE LEE WORSHAM MD (NPI 1194216663) is an individual child & adolescent psychiatry provider in Southlake, Texas, licensed in Texas (T5701) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194216663
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJESSE LEE WORSHAMCredential: MD
Location Address211 E SOUTHLAKE BLVD STE 107Southlake, TX 76092-6274
Mailing Address211 E Southlake Blvd Ste 107Southlake, TX 76092-6274 · (817) 670-3857 · Fax (817) 259-2669
Phone(817) 670-3857
Fax(817) 259-2669
Sole ProprietorYes
Enumeration DateMay 21, 2018
Last NPPES UpdateApril 12, 20244 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1194216663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in TX · T5701
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
211 E SOUTHLAKE BLVD STE 107, Southlake, TX 76092
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Lee Worsham Md 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Worsham's NPI number?

The NPI number for Jesse Worsham is 1194216663. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Jesse Worsham located?

Jesse Worsham practices at 211 E Southlake Blvd Ste 107, Southlake, TX 76092. The listed phone number is (817) 670-3857.

What is Jesse Worsham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jesse Worsham enrolled in Medicare?

Yes. Jesse Worsham is registered in the Medicare PECOS enrollment system.

What insurance does Jesse Worsham accept?

Health plans from UnitedHealthcare list Jesse Worsham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jesse Worsham was last updated on April 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.