CANDACE H WORTHAM CFNP
NPI 1902842263
Nurse Practitioner - Primary Care in Lagrange, GA

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
303 SMITH STREET, CLARK-HOLDER CLINIC, P.A., LAGRANGE, GA 30240(706) 882-8831(706) 812-4091 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candace H Wortham Cfnp NPPES

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

CANDACE H WORTHAM CFNP (NPI 1902842263) is an individual primary care provider in Lagrange, Georgia, licensed in Georgia (100010) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1902842263
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCANDACE H WORTHAMCredential: CFNP
Location Address303 SMITH STREET, CLARK-HOLDER CLINIC, P.A.Lagrange, GA 30240
Mailing Address303 Smith Street, Clark-holder Clinic, P.a.Lagrange, GA 30240 · (706) 882-8831 · Fax (706) 812-4091
Fax(706) 812-4091
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 22, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1902842263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in GA · 100010
Also ListedNurse PractitionerTaxonomy 363L00000X · License 100010 (GA)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 100010 (GA)

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

Candace H Wortham 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 ID7517996457
PECOS Enrollment IDI20050810000908
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 3

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.
196 services136 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.
156 services132 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

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

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers13 claims47 services$20.19 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers14 claims80 services$16.65 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers26 claims26 services$65.72 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers21 claims21 services$19.55 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers28 claims28 services$17.51 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers34 claims176 services$2.62 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 5

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

Nurse Practitioner (Adult Health)
303 SMITH STREET, EMORY CLARK HOLDER CLINIC
LAGRANGE, GA 30240
Nurse Practitioner (Family)
303 SMITH STREET, EMORY CLARK-HOLDER CLINIC
LAGRANGE, GA 30240
Urology
303 SMITH STREET, CLARK-HOLDER CLINIC, P.A.
LAGRANGE, GA 30240
Nurse Practitioner
303 SMITH STREET, EMORY CLARK- HOLDER CLINIC
LAGRANGE, GA 30240
Nurse Practitioner (Family)
303 SMITH STREET
LAGRANGE, GA 30240

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 Candace Wortham's NPI number?

The NPI number for Candace Wortham is 1902842263. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Candace Wortham located?

Candace Wortham practices at 303 Smith Street Clark-Holder Clinic, P.A., Lagrange, GA 30240. The listed phone number is (706) 882-8831.

What is Candace Wortham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Candace Wortham enrolled in Medicare?

Yes. Candace Wortham 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 Candace Wortham 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 Candace Wortham 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 Candace Wortham was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.