Individual provider Active NPI

Jorge Montero, FNP

  • Family Nurse Practitioner
  • Buford, GA
National Provider Identifier
1457022147
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN239175 Issued in GA
Practice address
4720 Nelson Brogdon Blvd
Buford, GA 30518-3480
Phone
(770) 945-1990
NPI assigned
Sep 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN239175 GA
Family Nurse Practitioner 363LF0000X RN239175 GA Primary

Addresses

Primary practice location

4720 Nelson Brogdon Blvd
Buford, GA 30518-3480

Mailing address

4720 Nelson Brogdon Blvd
Sugar Hill, GA 30518
Phone (770) 945-1990

Other practice location 1

134 Price Hills Ct
Sugar Hill, GA 30518-6207
Phone (404) 640-4343

Other practice location 2

4445 S Lee St Ste 100
Buford, GA 30518-8806
Phone (404) 640-4343

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
I20211101002710 GA Practitioner - Nurse Practitioner 2769870351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri County Internal Medicine, PCGroup PAC ID 9830187988, 6 clinicians

Practice addresses (Care Compare)

4720 Nelson Brogdon Blvd
Sugar Hill, GA 30518-3480
Phone (770) 945-1990

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Internal Medicine, PC CurrentSince Oct 18, 2021 Accepting new patients
Concierge Medicine LLC PastSince Oct 18, 2021 Accepting new patients

Locations

4465 Nelson Brogdon Blvd
Buford, GA 30518
Phone (770) 595-0491

4720 Nelson Brogdon Blvd
Buford, GA 30518
Phone (770) 945-1990

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGEJCD
  • Direct secure messaging: jorge.montero@tcimpc.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1457022147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 NELSON BROGDON BLVD",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "30518",
            "telephone_number": "770-945-1990",
            "fax_number": "770-945-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 NELSON BROGDON BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183480",
            "telephone_number": "770-945-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Price Hills Ct",
            "address_purpose": "LOCATION",
            "city": "Sugar Hill",
            "state": "GA",
            "postal_code": "305186207",
            "country_code": "US",
            "telephone_number": "404-640-4343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 S Lee St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305188806",
            "country_code": "US",
            "telephone_number": "404-640-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "JORGE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN239175",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.