Individual provider Active NPI

Maurianne Montes, L.AC., M.AC.O.M.

  • Acupuncturist
  • Saint Marys, GA
National Provider Identifier
1639429061
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
570 Issued in GA
Practice address
1201 Shadowlawn Dr Ste 106
Saint Marys, GA 31558-4074
Phone
(912) 227-0263
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0807 AZ
Acupuncturist 171100000X 570 GA Primary

Addresses

Primary practice location

1201 Shadowlawn Dr Ste 106
Saint Marys, GA 31558-4074

Mailing address

1201 Shadowlawn Dr Ste 106
Saint Marys, GA 31558-4074
Phone (912) 227-0263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
570GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Maurianne Montes Inc. CurrentSince Mar 11, 2025 Accepting new patients
Jennifer Parks, PLLC Past Accepting new patients
Maurianne Montes PLLC Past Accepting new patients

Locations

1201 Shadowlawn Dr
Ste 106
Saint Marys, GA 31558
Phone (912) 227-0263

Organizations & group practices 3

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1639429061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SHADOWLAWN DR STE 106",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584074",
            "telephone_number": "912-227-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SHADOWLAWN DR STE 106",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584074",
            "telephone_number": "912-227-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES",
        "first_name": "MAURIANNE",
        "credential": "L.AC., M.AC.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0807",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.