WHITNEY LEIGH WORTHY AGACNP-BC
NPI 1275074387
Nurse Practitioner in Rome, GA

Active since March 09, 2017PECOS EnrolledAccepts Medicare Assignment
77.45/100
CMS Quality Rating
255 W 5TH ST SW, ROME, GA 30165(762) 235-3930(706) 528-9113 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2023, May 7, 2020, Apr 11, 2018 (3 updates tracked since 2018).

About Whitney Leigh Worthy Agacnp-bc NPPES

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

WHITNEY LEIGH WORTHY AGACNP-BC (NPI 1275074387) is an individual nurse practitioner in Rome, Georgia, licensed in Georgia (RN251427) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275074387
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWHITNEY LEIGH WORTHYCredential: AGACNP-BC
Location Address255 W 5TH ST SWRome, GA 30165-2817
Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (762) 235-1000
Fax(706) 528-9113
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 9, 2017
Last NPPES UpdateJanuary 6, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
NPI 1275074387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN251427
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

255 W 5TH ST SW, Rome, GA 30165

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Whitney Leigh Worthy Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921376369
PECOS Enrollment IDI20180806001417
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
395 services274 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.86
Promoting Interoperability100
Improvement Activities40
Cost63.96

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
48%128 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%289 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%289 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
50%289 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%289 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Nuclear Radiology)
255 W 5TH ST SW, SUITE 150
ROME, GA 30165
Radiology (Radiation Oncology)
255 W 5TH ST SW
ROME, GA 30165
Radiology (Diagnostic Radiology)
255 W 5TH ST SW, SUITE 150
ROME, GA 30165
Internal Medicine (Hematology & Oncology)
255 W 5TH ST SW
ROME, GA 30165
Pharmacy (Community/Retail Pharmacy)
255 W 5TH ST SW
ROME, GA 30165
Nurse Practitioner
255 W 5TH ST SW
ROME, GA 30165
Radiology (Radiation Oncology)
255 W 5TH ST SW
ROME, GA 30165
Nurse Practitioner
255 W 5TH ST SW
ROME, GA 30165

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 Whitney Worthy's NPI number?

The NPI number for Whitney Worthy is 1275074387. It was assigned to this individual provider in the NPPES registry on March 9, 2017.

Where is Whitney Worthy located?

Whitney Worthy practices at 255 W 5th St SW, Rome, GA 30165. The listed phone number is (762) 235-3930.

What is Whitney Worthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Whitney Worthy enrolled in Medicare?

Yes. Whitney Worthy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Whitney Worthy accept?

Health plans from Alliant Health Plans, Inc. list Whitney Worthy 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 Whitney Worthy was last updated on January 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.