Individual provider Active NPI

Aaron A Montgomery, NP

  • Family Nurse Practitioner
  • Sandy Springs, GA
National Provider Identifier
1083247951
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN277626 Issued in GA
Practice address
5555 Peachtree Dunwoody Rd Ste 201
Sandy Springs, GA 30342-1711
Phone
(860) 459-5575
NPI assigned
Feb 19, 2020
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN277626 GA Primary

Addresses

Primary practice location

5555 Peachtree Dunwoody Rd Ste 201
Sandy Springs, GA 30342-1711

Mailing address

5555 Peachtree Dunwoody Rd Ste 201
Sandy Springs, GA 30342-1711
Phone (860) 459-5575

Other practice location 1

3350 Breckinridge Blvd Ste 200
Duluth, GA 30096-4959
Phone (404) 728-4164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804000862 GA Practitioner - Nurse Practitioner 5496170789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

3350 Breckinridge Blvd
Suite 200
Duluth, GA 30096-4959
Phone (770) 962-8396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN277626GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Impact Health Centers Inc CurrentSince Mar 30, 2020 Accepting new patients
Positive Impact Health Centers, Inc. CurrentSince Mar 30, 2020 Accepting new patients
Positive Impact Health Centers, Inc Past Accepting new patients

Locations

3075 Breckinridge Blvd
Ste 415
Duluth, GA 30096
Phone (770) 962-8396

3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1083247951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD STE 201",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421711",
            "telephone_number": "860-459-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD STE 201",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421711",
            "telephone_number": "860-459-5575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Breckinridge Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300964959",
            "country_code": "US",
            "telephone_number": "404-728-4164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "AARON",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN277626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.