Active NPI
Marcia Ann Montgomery, M.D.
- Specialist
- Nashville, TN
National Provider Identifier
1679561997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD0000009666
- Practice address
- 2400 Patterson St
Suite 204
Nashville, TN 37203-1562 - Phone
- (615) 320-0322
- Fax
- (615) 329-8091
- NPI assigned
- Oct 11, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000009666 | TN | Primary |
Addresses
Primary practice location
2400 Patterson St
Suite 204
Nashville, TN 37203-1562
Mailing address
2400 Patterson St
Suite 204
Nashville, TN 37203-1562
Phone (615) 320-0322
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000009666 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1679561997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 PATTERSON ST",
"address_2": "SUITE 204",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031562",
"telephone_number": "615-320-0322",
"fax_number": "615-329-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 PATTERSON ST",
"address_2": "SUITE 204",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031562",
"telephone_number": "615-320-0322",
"fax_number": "615-329-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "MARCIA",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-11",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD0000009666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.