Montgomery Group, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MONTGOMERY GROUP, LLC

Practice address

4108 Park Rd Ste 411
Charlotte, NC 28209-2262

Phone

(980) 949-8990

NPI assigned

Dec 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. John A Burns, LCSWNPI 1881900447

Title

Partner

Phone

(704) 622-3450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Burns, LCSW

  • Clinical Social Worker
  • Matthews, NC
  • NPI 1881900447
  Medicare reassignment NPD Authorized official
• Taylor Banner, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1760231831
  NPD (past)
• Javontae Bradley

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1689494841

  Single Specialty

  NPD (past)
• Jean Michelle Daley, LCMHC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1356997837
  NPD (past)

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1629540208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 PARK RD STE 411",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092262",
            "telephone_number": "980-949-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 PARK RD STE 411",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092262",
            "telephone_number": "980-949-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-622-3450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Monteleone, DC
• Mitchell Samonte Montemayor
• Heather-John H Montero, MD
• Brittani Lynn Montes, NP
• Shelby Rawlins Montes, PA
• Alexandra Chanel Montgomery, MD
• Alexandria Nicole Montgomery, DNP
• David Len Montgomery, P.T.
• Grayson Marie Montgomery, LCSWA
• Kathryn Ann Montgomery, LCMHCA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.