Individual provider Active NPI

Katrina Miller Montenegro, NP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1629637426
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN249294 Issued in GA
Practice address
1218 W Paces Ferry Rd NW Ste 200
Atlanta, GA 30327-2308
Phone
(404) 525-7493
Fax
(404) 522-0608
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN249294 GA Primary

Addresses

Primary practice location

1218 W Paces Ferry Rd NW Ste 200
Atlanta, GA 30327-2308

Mailing address

1218 W Paces Ferry Rd NW Ste 200
Atlanta, GA 30327-2308
Phone (404) 525-7493

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
I20190729002866 GA Practitioner - Nurse Practitioner 1052647021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hailey, Brody, Casey and Wray, M.D., P.C.Group PAC ID 0547251266, 5 clinicians

Practice addresses (Care Compare)

1218 W Paces Ferry Rd NW
Suite 200
Atlanta, GA 30327-2308
Phone (404) 525-7409

Merit-based Incentive Payment System (MIPS)

Final score
79.16 of 100Reported as group
Quality
76.28
Promoting interoperability
74
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hailey, Brody, Casey & Wray, M.D., P.C. CurrentSince Jul 1, 2019 Accepting new patients

Locations

1218 W Paces Ferry Rd NW
Ste 200
Atlanta, GA 30327
Phone (404) 525-7409

Interoperability endpoints

  • Direct secure messaging: krobinson@atlantadermatology.emadirect.md

Organizations & group practices 1

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1629637426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 W PACES FERRY RD NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272308",
            "telephone_number": "404-525-7493",
            "fax_number": "404-522-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W PACES FERRY RD NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272308",
            "telephone_number": "404-525-7493",
            "fax_number": "404-522-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "KATRINA",
        "middle_name": "MILLER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN249294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.