CEDRIC BERNARD WINDOM II MD
NPI 1063145357
Pediatrics in Dalton, GA

Q: What is Cedric Windom's NPI number?

The NPI number for Cedric Windom is 1063145357. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Q: What is Cedric Windom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Cedric Windom was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 05, 2022PECOS Enrolled

2918 E WALNUT AVE, DALTON, GA 30721(706) 529-4600(706) 529-4633 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2025, Jul 5, 2022 (2 updates tracked since 2022).

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About Cedric Bernard Windom Ii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDRIC BERNARD WINDOM II MD (NPI 1063145357) is an individual pediatrics provider in Dalton, Georgia, licensed in Missouri (2022024908) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063145357

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameCEDRIC BERNARD WINDOM IICredential: MD

Location Address2918 E WALNUT AVEDalton, GA 30721-8724

Mailing Address2918 E Walnut AveDalton, GA 30721-8724 · (706) 529-4600 · Fax (706) 529-4633

Phone(706) 529-4600

Fax(706) 529-4633

Sole ProprietorYes

Enumeration DateJuly 5, 2022

Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1063145357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 2022024908

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2918 E WALNUT AVE, Dalton, GA 30721

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cedric Bernard Windom Ii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLI MICHELLE WELCH APRN BC

Nurse Practitioner (Family)