NPIMap

Individual provider Active NPI

Michael Todd Montgomery, DO

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1336330232
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO0000001911 Issued in TN
Practice address
6010 Burnett Creek Rd
Knoxville, TN 37920
Phone
(386) 490-2398
Fax
(865) 859-0326
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO0000001911 TN
Family Medicine Physician 207Q00000X DO0000001911 TN Primary

Addresses

Primary practice location

6010 Burnett Creek Rd
Knoxville, TN 37920

Mailing address

6008 Burnett Creek Rd
Knoxville, TN 37920-5446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080215000529 TN Practitioner - Emergency MedicinePractitioner - Family Practice 9133202047 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO0000001911TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Aug 4, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2009 Accepting new patients
Marble City Medical PLLC CurrentSince Mar 1, 2019 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Hillcrest Healthcare Communities, Inc Past Accepting new patients
East Tennessee Medical Group, PC Family Medicine Past Accepting new patients
Hillcrest Healthcare Communities Inc Past Accepting new patients
Diversicare Briarcliff, LLC Past Accepting new patients
Summit View of Lake City, LLC Past Accepting new patients
Rocky Top Operations LLC Past Accepting new patients

Locations

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

Interoperability endpoints

  • Direct secure messaging: michael.montgomery.1@19899.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19899/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Diversicare of Oak RidgeOak Ridge, TN, CCN 445260 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
Mar 4, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marble City Medical PLLC 6 clinicians

Practice addresses (Care Compare)

6010 Burnett Creek Rd
Knoxville, TN 37920-7721

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
  • Shalom Hospice of Greater Knoxville LLC Hospice, Knoxville, TN, CCN 441609
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • West Hills Health and Rehab Nursing home, Knoxville, TN, CCN 445501
  • Diversicare of Oak Ridge Nursing home, Oak Ridge, TN, CCN 445260
  • Island Home Park Health and Rehab Nursing home, Knoxville, TN, CCN 445476
  • Rocky Top Care Center Nursing home, Rocky Top, TN, CCN 445259
  • Renaissance Terrace Nursing home, Harriman, TN, CCN 445223

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1336330232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 BURNETT CREEK RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BURNETT CREEK RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "386-490-2398",
            "fax_number": "865-859-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "DO0000001911",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000001911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.