Organization Active NPI

Montgomery Radiology Associates, PA

  • Specialist
  • Montgomery, AL
National Provider Identifier
1023046604
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MONTGOMERY RADIOLOGY ASSOCIATES, PA
Practice address
2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Phone
(334) 288-4624
Fax
(334) 280-3628
NPI assigned
Jun 30, 2006
Last updated
Oct 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Authorized official

Name
Kimberly Jordan Crist
Title
Ceo
Phone
(334) 288-4624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732

Mailing address

PO Box 830525, Dept #Sf128
Birmingham, AL 35283-0525
Phone (800) 889-8610

Other practice location 1

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (800) 889-8861

Other practice location 2

2105 E South Blvd
Montgomery, AL 36116-2409
Phone (800) 889-8610

Other practice location 3

124 S Memorial Dr
Prattville, AL 36067-3619
Phone (800) 889-8610

Other practice location 4

208 Pierson Ave
Centreville, AL 35042-2918
Phone (800) 889-8610

Other practice location 5

101 Hospital Dr
Luverne, AL 36049-7344
Phone (800) 889-8610

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/ Other Management Services Network, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AZ, FL, CA, TN, CO, NJ, NC, VA, NY10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20040108000123 AL Part B Supplier - Clinic/Group Practice 2961301999 Receives reassigned benefits from 64 practitioners
Practice locations: Jackson, AL; Leeds, AL; Luverne, AL; Monroeville, AL; Montgomery, AL; Ozark, AL; Prattville, AL; Troy, AL…
O20230126002614 AZ Part B Supplier - Clinic/Group Practice 2961301999 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20231106000070 FL Part B Supplier - Clinic/Group Practice 2961301999 Receives reassigned benefits from 5 practitioners
Practice locations: Wimauma, FL; Sarasota, FL; Miami Lakes, FL; Miami, FL; Gulf Breeze, FL
O20231114001541 CA Part B Supplier - Clinic/Group Practice 2961301999 Receives reassigned benefits from 2 practitioners
Practice locations: Carlsbad, CA; Los Angeles, CA
O20240208001747 TN Part B Supplier - Clinic/Group Practice 2961301999 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN
O20240318002865 CO Part B Supplier - Clinic/Group Practice 2961301999 Receives reassigned benefits from 2 practitioners
Practice locations: Evergreen, CO; Grand Junction, CO; Loveland, CO
O20250128003531 NJ Part B Supplier - Clinic/Group Practice 2961301999 Receives reassigned benefits from 1 practitioner
Practice locations: Short Hills, NJ
O20250324001975 NC Part B Supplier - Clinic/Group Practice 2961301999 Receives reassigned benefits from 1 practitioner
Practice locations: Highlands, NC
O20250404001575 VA Part B Supplier - Clinic/Group Practice 2961301999 Receives reassigned benefits from 1 practitioner
Practice locations: Leesburg, VA
O20260411000091 NY Part B Supplier - Clinic/Group Practice 2961301999 Receives reassigned benefits from 1 practitioner
Practice locations: East Amherst, NY

National Provider Directory

National Provider Directory

Locations

2055 Normandie Dr
Montgomery, AL 36111
Phone (334) 288-2100

2055 Normandie Dr
Ste 108
Montgomery, AL 36111
Phone (334) 288-4624

2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655

635 McQueen Smith Rd N
Ste B
Prattville, AL 36066
Phone (334) 358-1026

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1023046604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830525, DEPT #SF128",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830525",
            "telephone_number": "800-889-8610",
            "fax_number": "706-653-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 NORMANDIE DR",
            "address_2": "SUITE 108",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112732",
            "telephone_number": "334-288-4624",
            "fax_number": "334-280-3628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Taylor Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173512",
            "country_code": "US",
            "telephone_number": "800-889-8861",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 E South Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162409",
            "country_code": "US",
            "telephone_number": "800-889-8610",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360673619",
            "country_code": "US",
            "telephone_number": "800-889-8610",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Pierson Ave",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "AL",
            "postal_code": "350422918",
            "country_code": "US",
            "telephone_number": "800-889-8610",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Luverne",
            "state": "AL",
            "postal_code": "360497344",
            "country_code": "US",
            "telephone_number": "800-889-8610",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTGOMERY RADIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "CRIST",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-288-4624"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.1036.1",
            "affiliationName": "Management Services Network, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2357 Warm Springs Rd Ste 400",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319046874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.