Lacy M Windham, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD0000046066 Issued in TN

Practice address

2301 N Ocoee St
Suite a
Cleveland, TN 37311-3863

Phone

(423) 339-1400

Fax

(423) 339-9950

NPI assigned

Jun 24, 2008

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 TN

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

Specialty

Obstetrics/Gynecology

Education

University of Tennessee, HSC, College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifecircle Womens Health Care PCGroup PAC ID 9931167707, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr_lacy_windham@yourcarecommunity.org
• Direct secure messaging: lwindham@lifecircle.gwaydirect.com

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.

• Lifecircle Womens Health Care PC

  • Obstetrics Physician
  • Cleveland, TN
  • NPI 1316029663
  Medicare reassignment Care Compare group NPD
• Lifecircle Womens Health Care PC

  • Rural Health Clinic/Center
  • Athens, TN
  • NPI 1790423457
  NPD
• Anesthesia Alliance Solutions

  • Certified Registered Nurse Anesthetist
  • Cleveland, TN
  • NPI 1598158859
  NPD (past)
• Bradley Medical Center, LLC

  • General Acute Care Hospital
  • Cleveland, TN
  • NPI 1255171096
  NPD (past)
• Cleveland Tennessee Hospital Company LLC

  • General Acute Care Hospital
  • Cleveland, TN
  • NPI 1790756203
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bradley Medical Center, LLC

  • General Acute Care Hospital
  • Cleveland, TN
  • NPI 1255171096
  Care Compare affiliation

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1750542494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113863",
            "telephone_number": "423-339-1400",
            "fax_number": "423-339-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N OCOEE ST",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113863",
            "telephone_number": "423-339-1400",
            "fax_number": "423-339-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "LACY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000046066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Codie Wilson
• Cynthia Sue Wilson, LISW
• Gavin Davis Wilson
• Ryan Patrick Wilson, DDS
• Tiffany Michelle Ladonna Wilson
• Tammy Wingo-Salmond
• Winn Smiles Cleveland
• Bradley Logan Winn, D.D.S.
• Alan Winter, D.PH.
• Teresa Melanie Winter, R.PH.

• Obstetrics & Gynecology Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.