Individual provider Active NPI

James Craig Montgomery, FNP

  • Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1568476182
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN7956 Issued in TN
Practice address
616 W Lamar Alexander Pkwy
Maryville, TN 37801-3904
Phone
(865) 273-0008
Fax
(865) 895-4090
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN7956 TN
Nurse Practitioner 363L00000X APN7956 TN Primary

Addresses

Primary practice location

616 W Lamar Alexander Pkwy
Maryville, TN 37801-3904

Mailing address

616 W Lamar Alexander Pkwy
Maryville, TN 37801-3904
Phone (865) 273-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070712000658 TN Practitioner - Nurse Practitioner 5193825677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy, Asthma, Immunology Center - Ty Prince, PLLCGroup PAC ID 3274068234, 12 clinicians

Practice addresses (Care Compare)

616 W Lamar Alexander Pkwy
Maryville, TN 37801-3904
Phone (865) 273-0008

Merit-based Incentive Payment System (MIPS)

Final score
78.55 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
60.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN7956TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma, Immunology Center - Ty Prince, PLLC CurrentSince Sep 23, 2024 Accepting new patients
Allergy Associates, PA CurrentSince Dec 2, 2006 Accepting new patients
Allergy Associates, P.a. Current Accepting new patients
Allergy Associates, PA CurrentSince Dec 2, 2006 Accepting new patients
Abercrombie Radiological Consultants Inc Past Accepting new patients
Chuc, LLC Nurse Practitioner PastSince Jun 1, 2021 Accepting new patients

Locations

11416 Grigsby Chapel Rd
Ste 103
Knoxville, TN 37934
Phone (865) 584-0962

6701 Baum Dr
Ste 140
Knoxville, TN 37919

801 N Weisgarber Rd
Knoxville, TN 37909

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 848-5888

616 W Lamar Alexander Pkwy
Maryville, TN 37801
Phone (865) 273-0008

Interoperability endpoints

  • Direct secure messaging: craig.montgomery@aaictpp.eclinicaldirectplus.com

Organizations & group practices 6

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1568476182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013904",
            "telephone_number": "865-273-0008",
            "fax_number": "865-895-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013904",
            "telephone_number": "865-273-0008",
            "fax_number": "865-895-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JAMES",
        "middle_name": "CRAIG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN7956",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN7956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.