Emily Marie Windham, FNP-C, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN30618 Issued in GA

Practice address

11975 Morris Rd Ste 210
Alpharetta, GA 30005-4444

Phone

(530) 574-0435

NPI assigned

May 8, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emily.windham.1@8348.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8348/brand/1/csg/1/fhir/r4

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.

• Pandya Medical Center, Inc

  • Family Medicine Physician
  • Johns Creek, GA
  • NPI 1730501586
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1629767355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 EMBER ST",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663966",
            "telephone_number": "530-574-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 MORRIS RD STE 210",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054444",
            "telephone_number": "530-574-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "FNP-C, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN30618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keva Wilson, BCBA
• Sydney Wilson
• Tara Sansone Wilson, DPT
• Valarie D. Wilson, DMD
• Jonette Odyssey Winder, RBT
• Joclyn Sims Windom, LPC
• Windsor Manor Operations, LLC (Prime Care Home Health Services)
• Windward Chiropractic & Wellness, Inc (Chiro4Sports)
• Windward Eye Care
• Windward Eye Care, Inc. (Alpharetta Eye Clinic)

• Family Nurse Practitioner in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.