DR. MICHAEL COURTNEY WINDHAM (M.D.) – Gastroenterology Physician, NPI 1861697740

DR. MICHAEL COURTNEY WINDHAM (M.D.) is a healthcare provider. based in Gainesville, Georgia. specializing in INTERNAL MEDICINE, HOSPITALIST, GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. MD039917 (DC). The NPI Number for DR. MICHAEL COURTNEY WINDHAM (M.D.) is 1861697740

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL COURTNEY WINDHAM (M.D.)
NPI
1861697740
Phone
(678) 987-1498
Address
1498 Jesse Jewell Pkwy SE
Enumeration Date
19 June 2007
Last Update Date
10 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8437700404
Graduation Year
2007 (19 years ago)
PAC ID
2668668393
Group Practice PAC ID
7810809365
Professional Enrollment ID
I20200911000988
Address ID
SC299065200BE300XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience96
Completeness75
Years active:18State licenses:6Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for DR. MICHAEL COURTNEY WINDHAM (M.D.)

  • 1498 Jesse Jewell Pkwy SE

    suite a

    Gainesville, GA 305013874

    Phone: (678) 987-1498

    Fax: (678) 987-1499

    Type: Location

  • 160 ACADEMY AVE

    GREENWOOD, SC 296463808

    Phone: (864) 223-8090

    Type: Location

  • 3 Richland Medical Park Dr Ste 120

    Columbia, SC 292036850

    Phone: (803) 434-8866

    Type: Location

  • Richland Medical Park Drive, Colonial Heights, Columbia, Richland County, South Carolina, 29220, United States

    COLUMBIA, SC 292036850

    Phone: (803) 434-8866

    Type: Location

  • 1980 FRIENDSHIP RD STE 104

    HOSCHTON, GA 305484154

    Phone: (678) 987-1480

    Fax: (678) 987-1481

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121107000466IGastroenterologyDCTBD
I20130604000416IGastroenterologyVATBD
I20150331000979IGastroenterologyGATBD
I20200911000988IGastroenterologySCTBD
I20201110002803IGastroenterologyNCTBD
I20240828000810IGastroenterologyKYTBD
I20241009001274IGastroenterologyILTBD
I20250328003212IHospitalistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2828$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2222$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810809365View full group profile
NameSpecialtyState
Sleep Medicine, Cardiovascular Disease (Cardiology)SC
Emergency MedicineSC
Certified Nurse Midwife (Cnm)SC
Nurse PractitionerSC
Physician AssistantSC
-SC
P S Y C H I A T R YCO
Physician AssistantSC
-SC
Family PracticeNC

Reviews

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Frequently asked questions

How do payers reference DR. MICHAEL COURTNEY WINDHAM (M.D.)?
For DR. MICHAEL COURTNEY WINDHAM (M.D.), use NPI 1861697740 as the unique 10-digit identifier.
Is there an active status for DR. MICHAEL COURTNEY WINDHAM (M.D.)?
For scheduling context, DR. MICHAEL COURTNEY WINDHAM (M.D.) is shown as active in the registry.
How would a patient describe DR. MICHAEL COURTNEY WINDHAM (M.D.)'s focus?
For DR. MICHAEL COURTNEY WINDHAM (M.D.), the primary taxonomy reads as Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is DR. MICHAEL COURTNEY WINDHAM (M.D.) registered?
Use Gainesville, Georgia as the headline location for DR. MICHAEL COURTNEY WINDHAM (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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