Samuel Jacob Montgomery Jr., M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20855 Issued in SC

Practice address

22995 US Highway 76
Clinton, SC 29325-7529

Phone

(864) 654-6706

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Medical University of South Carolina College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clemson Eye PAGroup PAC ID 4183537764, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newberry County Memorial Hospital Hospital, Newberry, SC, CCN 420053
• Prisma Health Laurens County Hospital Hospital, Clinton, SC, CCN 420038
• Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: s.montgomeryjr.p1@direct.clemsoneye.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: samuel.montgomeryjr.p2@direct.clemsoneye.nextgenshare.com

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.

• Clemson Eye, PA

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1447383831
  Medicare reassignment Care Compare group NPD
• Clemson Eye, PA

  • Optometrist
  • Hartsville, SC
  • NPI 1629686373
  NPD
• Surgery & Laser Center at Professional Park LLC

  • Ambulatory Surgical Clinic/Center
  • Clinton, SC
  • NPI 1477628725
  NPD
• Clemson Eye, PA

  • Optometrist
  • Clemson, SC
  • NPI 1790939254
  NPD (past)

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

• Newberry County Memorial Hospital

  • General Acute Care Hospital
  • Newberry, SC
  • NPI 1316030083
  Care Compare affiliation
• Prisma Health-Upstate

  • General Acute Care Hospital
  • Clinton, SC
  • NPI 1245786367
  Care Compare affiliation
• Self Regional Healthcare

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, SC
  • NPI 1013867498

  Hospital

  Care Compare affiliation
• Self Regional Healthcare

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1023046612
  Care Compare affiliation
• Self Regional Healthcare

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1407887003
  Care Compare affiliation
• Self Regional Healthcare

  • Pain Medicine (Anesthesiology) Physician
  • Clinton, SC
  • NPI 1720938103

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1467488551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22995 US HIGHWAY 76",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257529",
            "telephone_number": "864-654-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Southern Center Ct",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296421533",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2011 E Greenville St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211529",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "931 Tiger Blvd",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296311419",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Pelham Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153111",
            "country_code": "US",
            "telephone_number": "864-657-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "273 Harrison Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807132",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Halton Green Way",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296076606",
            "country_code": "US",
            "telephone_number": "864-657-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2735 Winnsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291084011",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SAMUEL",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "20855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180045119",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T49187",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edith Louise Messina, OTR/L
• Diane Susan Milam, M.ED.
• Phillip H Milner, D.O.
• Kendrick Mines
• Montgomery & Riddle Eyecare, PA
• Katherine Gerrald Moore, PHARMD
• Sara P Moore
• Tamara Morton, LPC-A
• Jittin Thakor Muljibhai, D.O.
• Mason Munn, OD

• Ophthalmology Physician in Clinton, SC
• Providers in Clinton, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.