Active NPI
Marcus E. Windhom Sr.
- Case Manager/Care Coordinator
- Macon, GA
National Provider Identifier
1295352888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 150 Sessions Dr
Macon, GA 31201-2317 - Phone
- (404) 625-5907
- NPI assigned
- Jun 29, 2020
- Last updated
- Mar 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | IL | ||
| Early Intervention Provider Agency | 252Y00000X | IL | ||
| Case Manager/Care Coordinator | 171M00000X | GA | ||
| Case Manager/Care Coordinator | 171M00000X | IL | Primary | |
| Behavior Technician | 106S00000X | IL |
Addresses
Primary practice location
150 Sessions Dr
Macon, GA 31201-2317
Mailing address
478 Monroe HL Apt 310
Macon, GA 31204-6552
Phone (404) 625-5907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBFF | Early Intervention Provider Agency | Current | Accepting new patients |
Locations
150 Sessions Dr
Macon, GA 31201
Phone (404) 625-5907
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1295352888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 MONROE HL APT 310",
"city": "MACON",
"state": "GA",
"postal_code": "312046552",
"telephone_number": "404-625-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SESSIONS DR",
"city": "MACON",
"state": "GA",
"postal_code": "312012317",
"telephone_number": "404-625-5907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDHOM",
"first_name": "MARCUS",
"middle_name": "E.",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-29",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.