Individual provider Active NPI

Katherine Booty Windham, MD

  • Internal Medicine Physician
  • Prattville, AL
National Provider Identifier
1942296512
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AL16083 Issued in AL
Practice address
204 Medical Center CT
Prattville, AL 36066-7288
Phone
(334) 361-3090
Fax
(334) 361-2090
NPI assigned
Sep 20, 2005
Last updated
Aug 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AL16083 AL Primary

Addresses

Primary practice location

204 Medical Center CT
Prattville, AL 36066-7288

Mailing address

204 Medical Center CT
Prattville, AL 36066-7288
Phone (334) 361-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20120724000618 AL Practitioner - Internal Medicine 2163688813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians
Physical ExpressGroup PAC ID 3476531039, 4 clinicians

Practice addresses (Care Compare)

204 Medical Ctr Dr
Prattville, AL 36066-7288
Phone (334) 361-3090

4081 Hwy 14
Millbrook, AL 36054-1994
Phone (334) 285-3222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.47 of 100Reported as individual
Quality
68.82
Promoting interoperability
100
Improvement activities
40
Cost
79.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AL16083ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Express CurrentSince Aug 21, 2025 Accepting new patients
Jackson Hospital and Clinic, Inc. Internal Medicine Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Jackson Hospital and Clinic, Inc. Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients

Locations

4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222

1722 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 271-1263

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

204 Medical Center Dr
Prattville, AL 36066
Phone (334) 361-3090

Interoperability endpoints

  • Direct secure messaging: katherine.windham@phy.direct.medconnecthealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1942296512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEDICAL CENTER CT",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667288",
            "telephone_number": "334-361-3090",
            "fax_number": "334-361-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL CENTER CT",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667288",
            "telephone_number": "334-361-3090",
            "fax_number": "334-361-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "KATHERINE",
        "middle_name": "BOOTY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "AL16083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.