Active NPI
Windham Gynecology, LLC
- Gynecology Physician
- Florence, SC
National Provider Identifier
1881623601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 149324
- Legal business name
- WINDHAM GYNECOLOGY, LLC
- Practice address
- 509 S Coit St
Florence, SC 29501-5220 - Phone
- (843) 676-1435
- Fax
- (843) 676-1437
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy Windham, M.D.
- Title
- Physician
- Phone
- (843) 676-1435
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 149324 | SC | Primary |
Addresses
Primary practice location
509 S Coit St
Florence, SC 29501-5220
Mailing address
509 S Coit St
Florence, SC 29501-5220
Phone (843) 676-1435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0958976 | Windham Gynecology LLC | Provider-performed microscopy | Jan 10, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Florence, SC
- NPI 1770584799
-
- Emergency Medicine Physician
- Columbia, SC
- NPI 1154327229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881623601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 S COIT ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015220",
"telephone_number": "843-676-1435",
"fax_number": "843-676-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 S COIT ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015220",
"telephone_number": "843-676-1435",
"fax_number": "843-676-1437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDHAM GYNECOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WINDHAM",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "843-676-1435",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "SC",
"license": "149324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.