Organization Active NPI

Montgomery Keeton Infusion Center, LLC.

  • Infusion Therapy Clinic/Center
  • Muscle Shoals, AL
National Provider Identifier
1164220729
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
MONTGOMERY KEETON INFUSION CENTER, LLC.
Doing business as
Montgomery Keeton Infusion Center, LLC.
Practice address
503 W State St Ste A18
Muscle Shoals, AL 35661-2861
Phone
(256) 415-6542
Fax
(256) 415-6415
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Dr. Melissa Keeton Montgomery, PHARM.D.NPI 1053547422
Title
Ceo
Phone
(256) 415-6542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

503 W State St Ste A18
Muscle Shoals, AL 35661-2861

Mailing address

503 W State St Ste A18
Muscle Shoals, AL 35661-2861
Phone (256) 415-6542

Other names 1

  • Montgomery Keeton Infusion Center, LLC. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250425000525 AL Part B Supplier - Clinic/Group Practice 2466978176 Receives reassigned benefits from 2 practitioners
Practice locations: Muscle Shoals, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1164220729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W STATE ST STE A18",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612861",
            "telephone_number": "256-415-6542",
            "fax_number": "256-415-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W STATE ST STE A18",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612861",
            "telephone_number": "256-415-6542",
            "fax_number": "256-415-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY KEETON INFUSION CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KEETON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-415-6542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Keeton Infusion Center, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.