Individual provider Active NPI

Margie Montgomery, NP

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1669961272
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN122322 Issued in GA
Practice address
4061 Vineville Ave
Macon, GA 31210-5039
Phone
(478) 757-0221
Fax
(478) 757-4911
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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 RN122322 GA Primary

Addresses

Primary practice location

4061 Vineville Ave
Macon, GA 31210-5039

Mailing address

4061 Vineville Ave
Macon, GA 31210-5039
Phone (478) 757-0221

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
I20190304001054 GA Practitioner - Nurse Practitioner 2365781614 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN122322GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lesley Jill Cown, M.D., L.L.C. CurrentSince Jan 18, 2019 Accepting new patients

Locations

4061 Vineville Ave
Macon, GA 31210
Phone (478) 757-0221

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1669961272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105039",
            "telephone_number": "478-757-0221",
            "fax_number": "478-757-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105039",
            "telephone_number": "478-757-0221",
            "fax_number": "478-757-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MARGIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN122322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.