CANDACE H WORTHAM (CFNP) – Primary Care Nurse Practitioner, NPI 1902842263

CANDACE H WORTHAM (CFNP) is a healthcare provider. based in Lagrange, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials CFNP. They hold a License No. 100010 (GA). The NPI Number for CANDACE H WORTHAM (CFNP) is 1902842263

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE H WORTHAM (CFNP)
NPI
1902842263
Phone
(706) 882-8831
Address
303 SMITH STREET
Enumeration Date
22 June 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2011 (15 years ago)
PAC ID
7517996457
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20050810000908
Address ID
GA301527742KE5150XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for CANDACE H WORTHAM (CFNP)

  • 303, Smith Street, LaGrange, Troup County, Georgia, 30240, United States

    CLARK-HOLDER CLINIC, P.A.

    LAGRANGE, GA 30240

    Phone: (706) 882-8831

    Fax: (706) 812-4091

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 157 Open Payments records for all available years, with a total value of $3,623.

Total Amount is formed as General ($3,623) + Research ($0) + Ownership ($0) = $3,623.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($644).

Total Amount

$3,623

General + Research + Ownership

Payments

157

Total payment records

General Amount

$3,623

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050810000908INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes245191$0
99214Established patient office or other outpatient visit, 30-39 minutes150122$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30240)

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Provider's Procedures

CANDACE H WORTHAM (CFNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERGA81002Urinalysis, manual test1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to CANDACE H WORTHAM (CFNP)?
NPI 1902842263 is assigned to CANDACE H WORTHAM (CFNP) under the national enumeration system.
Is CANDACE H WORTHAM (CFNP) currently active in the NPI registry?
CMS-published data lists CANDACE H WORTHAM (CFNP) as an active registrant.
Does CANDACE H WORTHAM (CFNP) list a primary specialty?
If you are matching referrals, note Primary Care Nurse Practitioner for CANDACE H WORTHAM (CFNP). Clinical services aligned with this taxonomy classification.
Does CANDACE H WORTHAM (CFNP) practice in Georgia?
You will see Lagrange, Georgia on file for CANDACE H WORTHAM (CFNP) alongside any extra practice locations.
How can I contact CANDACE H WORTHAM (CFNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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