Montgomery Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MONTGOMERY MEDICAL ASSOCIATES

Practice address

35 Collier Rd NW Ste 185
Atlanta, GA 30309-1671

Phone

(404) 590-0626

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Sherika Newman, D.O.

Title

Owner

Phone

(954) 931-9714

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1669990081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW STE 185",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091671",
            "telephone_number": "404-590-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW STE 185",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091671",
            "telephone_number": "404-590-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "SHERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-931-9714",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001156200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Atlanta",
            "affiliation": "N",
            "address_1": "35 Collier Rd NW Ste 185",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303091671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ricardo Montes de Oca, DMD
• Marie-Daniel P-L Montes, NP
• Garion Andrea Montez
• Jasmine Montford
• Angela K Montfort, LPC, NCC
• Valerie C Montgomery Rice, M.D.
• Amanda Ruth Montgomery, LCSW
• David Montgomery, M.D.
• Gary L Montgomery, MD
• Hannah Montgomery, PA-C

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.