Individual provider Active NPI

Cathy Montgomery, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Cheraw, SC
National Provider Identifier
1699531673
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29662 Issued in SC
Practice address
812 State Rd
Cheraw, SC 29520-2130
Phone
(843) 537-0961
Fax
(843) 537-0908
NPI assigned
Feb 26, 2024
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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 29662 SC Primary

Addresses

Primary practice location

812 State Rd
Cheraw, SC 29520-2130

Mailing address

PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111

Other identifiers 1

IdentifierTypeStateIssuer
NN1151MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240709002352 NC Practitioner - Nurse Practitioner 1850443649 Reassigns benefits to 3 organizations
I20250415000267 SC Practitioner - Nurse Practitioner 1850443649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caresouth Carolina Inc.Group PAC ID 1052221314, 66 clinicians

Practice addresses (Care Compare)

1268 S 4TH St
Hartsville, SC 29550-0703
Phone (843) 332-3422

545 Sumter Hwy
Bishopville, SC 29010-7601
Phone (803) 484-5317

715 S Doctors Dr
Cheraw, SC 29520-7113
Phone (843) 537-0961

737 S Main St
Society Hill, SC 29593-8972
Phone (843) 378-4501

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Aco LLC CurrentSince Aug 1, 2024 Accepting new patients
Guardian Biologics LLC CurrentSince Oct 18, 2024 Accepting new patients
Caresouth Carolina, Inc CurrentSince Apr 21, 2025 Accepting new patients
Universal Health Corporation CurrentSince Nov 5, 2024 Accepting new patients
Regional Healthcare Group LLC CurrentSince Sep 10, 2024 Accepting new patients
Caresouth Carolina, Inc. Current Accepting new patients
Caresouth Carolina, Inc Past Accepting new patients

Locations

1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

545 Sumter Hwy
Bishopville, SC 29010
Phone (803) 484-5317

1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422

737 S Main St
Society Hill, SC 29593
Phone (843) 378-4501

Organizations & group practices 7

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 1

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1699531673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511090",
            "telephone_number": "843-857-0111",
            "fax_number": "843-309-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 STATE RD",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202130",
            "telephone_number": "843-537-0961",
            "fax_number": "843-537-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CATHY",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NN1151",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheraw, SC

Sources for this page

Verify at the official NPI Registry.