Organization Active NPI

Dr. Frances Renee Montgomery

  • Gynecology Physician
  • Jacksonville, AR
National Provider Identifier
1255865036
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
C7952 Issued in AR
Legal business name
DR. FRANCES RENEE MONTGOMERY
Practice address
1432 Braden St Ste B
Jacksonville, AR 72076-3721
Phone
(501) 992-2905
Fax
(501) 457-7683
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Jennifer Camille Montgomery
Title
Office Manager
Phone
(501) 992-2905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X C7952 AR Primary

Addresses

Primary practice location

1432 Braden St Ste B
Jacksonville, AR 72076-3721

Mailing address

1432 Braden St Ste B
Jacksonville, AR 72076-3721
Phone (501) 992-2905

Other identifiers 1

IdentifierTypeStateIssuer
12529001MedicaidAR

National Provider Directory

National Provider Directory

Locations

1432 Braden St
#B
Jacksonville, AR 72076
Phone (501) 992-2905

Practitioners & affiliated clinicians

Practitioners 1

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": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1255865036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 BRADEN ST STE B",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763721",
            "telephone_number": "501-992-2905",
            "fax_number": "501-457-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 BRADEN ST STE B",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763721",
            "telephone_number": "501-992-2905",
            "fax_number": "501-457-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FRANCES RENEE MONTGOMERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-992-2905"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AR",
            "license": "C7952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12529001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.