Active NPI
Alfred G Windham, MD
- Otolaryngology Physician
- Vicksburg, MS
National Provider Identifier
1326079518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 08827
- Practice address
- 2200 Highway 61 N
Vicksburg, MS 39183-8246 - Phone
- (601) 638-7271
- NPI assigned
- Jul 5, 2006
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 08827 | MS | Primary |
Addresses
Primary practice location
2200 Highway 61 N
Vicksburg, MS 39183-8246
Mailing address
104 McAuley Dr
Vicksburg, MS 39183-2825
Phone (601) 638-7271
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00114165 | Medicaid | MS | |
| 1339920 | Medicaid | LA | |
| 4224657 | Other | MS | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alfred.windham.1@1475.direct.athenahealth.com |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicksburg Clinic LLC | Past | Accepting new patients | |
| River Region Health System | Past | Accepting new patients |
Interoperability endpoints
- alfred.windham.1@1475.direct.athenahealth.com
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1326079518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MCAULEY DR",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391832825",
"telephone_number": "601-638-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 HIGHWAY 61 N",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838246",
"telephone_number": "601-638-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDHAM",
"first_name": "ALFRED",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2026-09-29",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MS",
"license": "08827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00114165",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1339920",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4224657",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alfred.windham.1@1475.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "2200 Highway 61 N",
"city": "Vicksburg",
"state": "MS",
"country_code": "US",
"postal_code": "391838246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.