Individual provider Active NPI

Neil Howell Windham III, PA-C

  • Physician Assistant
  • Darlington, SC
National Provider Identifier
1821689597
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4260 Issued in SC
Practice address
300 Steel Mill Rd
Darlington, SC 29540-8759
Phone
(843) 395-8613
Fax
(877) 724-9204
NPI assigned
Jan 26, 2021
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4260 SC Primary

Addresses

Primary practice location

300 Steel Mill Rd
Darlington, SC 29540-8759

Mailing address

300 Steel Mill Rd
Darlington, SC 29540-8759
Phone (843) 395-8613

Other identifiers 1

IdentifierTypeStateIssuer
4260OtherSCMEDICAL LICENSE

Other names 1

  • Mr. Trey Windham Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204002253 SC Practitioner - Physician Assistant 3577956093 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4260SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Nov 14, 2023 Accepting new patients

Locations

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

206 Swift Creek Rd
Hartsville, SC 29550
Phone (843) 383-6456

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

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.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1821689597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STEEL MILL RD",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295408759",
            "telephone_number": "843-395-8613",
            "fax_number": "877-724-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STEEL MILL RD",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295408759",
            "telephone_number": "843-395-8613",
            "fax_number": "877-724-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "NEIL",
        "middle_name": "HOWELL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "4260",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREY",
            "last_name": "WINDHAM",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Darlington, SC

Sources for this page

Verify at the official NPI Registry.