Active NPI
Morgan Elizabeth Windham, DNP, CPNP-PC
- Pediatric Nurse Practitioner
- Columbia, SC
National Provider Identifier
1407231764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 19657
- Practice address
- 9 Richland Medical Park Dr
Columbia, SC 29203-6859 - Phone
- (803) 434-7961
- Fax
- (803) 758-0134
- NPI assigned
- Jul 28, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 19657 | SC | Primary |
Addresses
Primary practice location
9 Richland Medical Park Dr
Columbia, SC 29203-6859
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other practice location 1
250 W Wesmark Blvd
Sumter, SC 29150-1986
Phone (803) 434-8450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4329 | Medicaid | SC |
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Group PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Hartsville, SC
- NPI 1841518842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1407231764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 RICHLAND MEDICAL PARK DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036859",
"telephone_number": "803-434-7961",
"fax_number": "803-758-0134"
}
],
"practiceLocations": [
{
"address_1": "250 W Wesmark Blvd",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291501986",
"country_code": "US",
"telephone_number": "803-434-8450",
"fax_number": "803-758-0137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINDHAM",
"first_name": "MORGAN",
"middle_name": "ELIZABETH",
"credential": "DNP, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "SC",
"license": "19657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP4329",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.