NPIMap

Individual provider Active NPI

Gini M Montgomery, CRNP

  • Nurse Practitioner
  • Moulton, AL
National Provider Identifier
1649239922
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1075886 Issued in AL
Practice address
40 Medical Cir
Moulton, AL 35650-1256
Phone
(256) 974-0606
Fax
(256) 522-2226
NPI assigned
Mar 23, 2006
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1075886 AL Primary

Addresses

Primary practice location

40 Medical Cir
Moulton, AL 35650-1256

Mailing address

PO Box 340
Moulton, AL 35650-0340
Phone (256) 974-8440

Other practice location 1

10939 Al Highway 157
Moulton, AL 35650-1914
Phone (256) 974-3390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000476 AL Practitioner - Nurse Practitioner 4688737869 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
Attentus Moulton, LLCGroup PAC ID 6406895382, 11 clinicians

Practice addresses (Care Compare)

40 Medical Cir
Moulton, AL 35650-1256
Phone (256) 974-2207

94 Medical Cir
Moulton, AL 35650-1256
Phone (256) 974-9216

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1075886ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Attentus Moulton, LLC CurrentSince Oct 1, 2008 Accepting new patients
HH Health System - Morgan, LLC CurrentSince Sep 12, 2025 Accepting new patients
H H Health System-Morgan LLC CurrentSince Sep 12, 2025 Accepting new patients
Endocrinology & Diabetes Clinic Past Accepting new patients

Locations

350 Tennessee St
Courtland, AL 35618
Phone (256) 637-8033

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

2205 Beltline Rd SW
Decatur, AL 35601
Phone (256) 306-4000

10939 AL Highway 157
Moulton, AL 35650
Phone (256) 974-3390

202 Hospital St
Moulton, AL 35650
Phone (256) 974-2200

40 Medical Cir
Moulton, AL 35650
Phone (256) 974-0606

94 Medical Cir
Moulton, AL 35650
Phone (256) 974-2207

Interoperability endpoints

  • Direct secure messaging: gini.montgomery@attmoul.direct.medconnect-inc.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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 7

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1649239922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356500340",
            "telephone_number": "256-974-8440",
            "fax_number": "256-522-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MEDICAL CIR",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501256",
            "telephone_number": "256-974-0606",
            "fax_number": "256-522-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10939 Al Highway 157",
            "address_purpose": "LOCATION",
            "city": "Moulton",
            "state": "AL",
            "postal_code": "356501914",
            "country_code": "US",
            "telephone_number": "256-974-3390",
            "fax_number": "256-905-0261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "GINI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1075886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moulton, AL

Sources for this page

Verify at the official NPI Registry.