PENNY D BOOTH CFNP
NPI 1710078423
Nurse Practitioner - Family in Tifton, GA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
901 18TH ST E, TIFTON, GA 31794(229) 382-7120 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Penny D Booth Cfnp NPPES

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

PENNY D BOOTH CFNP (NPI 1710078423) is an individual family provider in Tifton, Georgia, licensed in Georgia (RN202921) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1710078423
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePENNY D BOOTHCredential: CFNP
Location Address901 18TH ST ETifton, GA 31794-3648
Mailing Address907 18th St E Ste 400Tifton, GA 31794-3684 · (229) 353-3422
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 6, 2021
NPI 1710078423 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
License Licensed in GA · RN202921
901 18TH ST E, Tifton, GA 31794

Other Identifiers 3

Medicaid3810004243WV
Medicaid2933277OH
Medicaid000000270634OH

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

Penny D Booth Cfnp 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 ID6002831096
PECOS Enrollment IDI20051010000068, I20090812000284
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Cook Medical Center A Campus Of Tift Reg Med Ctr

Acute Care Hospitals · Adel, GA
OwnershipProprietary
CMS Certification Number110101
Location260 Mj Taylor RoadAdel, GA 31620 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers22 claims23 services$192.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Practitioner (Acute Care)
901 18TH ST E
TIFTON, GA 31794
Student in an Organized Health Care Education/Training Program
901 18TH ST E
TIFTON, GA 31794
Internal Medicine (Pulmonary Disease)
901 18TH ST E
TIFTON, GA 31794
Physical Therapist
901 18TH ST E
TIFTON, GA 31794
Internal Medicine
901 18TH ST E
TIFTON, GA 31794
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Practitioner (Family)
901 18TH ST E
TIFTON, GA 31794

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 Penny Booth's NPI number?

The NPI number for Penny Booth is 1710078423. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Penny Booth located?

Penny Booth practices at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 382-7120.

What is Penny Booth's specialty?

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

Is Penny Booth enrolled in Medicare?

Yes. Penny Booth 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 Penny Booth accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Penny Booth 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.

Is Penny Booth affiliated with any hospitals?

According to CMS data, Penny Booth is affiliated with Tift Regional Medical Center and Cook Medical Center A Campus Of Tift Reg Med Ctr.

When was this NPI record last updated?

The NPPES record for Penny Booth was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.