Individual provider Active NPI

Montgomery Edward Thorne Jr., MD

  • Obstetrics & Gynecology Physician
  • Columbus, GA
National Provider Identifier
1588661946
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
041977 Issued in GA
Practice address
2300 Manchester Expy
Ste B001
Columbus, GA 31904-6808
Phone
(706) 324-4891
Fax
(706) 256-2424
NPI assigned
Jun 30, 2005
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 041977 GA Primary

Addresses

Primary practice location

2300 Manchester Expy
Ste B001
Columbus, GA 31904-6808

Mailing address

PO Box 9027
Columbus, GA 31908-9027
Phone (706) 324-4891

Other practice location 1

6801 River Rd Ste 301
Columbus, GA 31904-3353
Phone (706) 320-8416

Other identifiers 2

IdentifierTypeStateIssuer
202I169635OtherGAMEDICARE PTAN
000710278AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090617000318 GA Practitioner - Obstetrics/Gynecology 8426060484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2300 Manchester Expy
Suite B001
Columbus, GA 31904-6877
Phone (706) 324-4891

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041977GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Obstetric and Gynecology, LLC Obstetrics & Gynecology Current Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
St Francis Physician Practices LLC Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
St Francis Health LLC Past Accepting new patients
The Medical Center Inc Past Accepting new patients

Locations

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Ste A002
Columbus, GA 31904
Phone (706) 320-3203

2300 Manchester Expy
Ste B001
Columbus, GA 31904
Phone (706) 257-7411

6801 River Rd
Ste 301
Columbus, GA 31904
Phone (706) 320-8416

Interoperability endpoints

  • Direct secure messaging: montgomery.thorne@sfhga.gadirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1588661946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9027",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319089027",
            "telephone_number": "706-324-4891",
            "fax_number": "706-256-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "STE B001",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046808",
            "telephone_number": "706-324-4891",
            "fax_number": "706-256-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 River Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319043353",
            "country_code": "US",
            "telephone_number": "706-320-8416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNE",
        "first_name": "MONTGOMERY",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "041977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I169635",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000710278A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.