Individual provider Active NPI

Karla Renee Jones-Montgomery, MD

  • General Acute Care Hospital
  • Little Rock, AR
National Provider Identifier
1700893690
Registry record updated Nov 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
E3005 Issued in AR
Practice address
4300 W 7TH St
Little Rock, AR 72205-5484
Phone
(501) 257-5072
Fax
(501) 332-7044
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-3005 AR
General Acute Care Hospital 282N00000X E3005 AR Primary

Addresses

Primary practice location

4300 W 7TH St
Little Rock, AR 72205-5484

Mailing address

13620 Dover CV
North Little Rock, AR 72117-5363
Phone (501) 961-2922

Other names 1

  • Dr. Karla J Montgomery Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000019 AR Practitioner - Family PracticePractitioner - Emergency Medicine 7911191754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medcare IncGroup PAC ID 5698667624, 53 clinicians

Practice addresses (Care Compare)

1001 Schneider Dr
Malvern, AR 72104-4811
Phone (501) 337-4911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-3005ARMDEmergency Medicine Physician
E3005ARMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Mar 12, 2017 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Mar 12, 2017 Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Stuttgart Regional Medical Center General Acute Care Hospital Past Accepting new patients
Ozarks Medical Center General Acute Care Hospital Past Accepting new patients

Locations

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

Interoperability endpoints

  • Direct secure messaging: karla.jones-montgomery.1@22635.direct.athenahealth.com

Organizations & group practices 6

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.

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1700893690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 DOVER CV",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721175363",
            "telephone_number": "501-961-2922",
            "fax_number": "501-332-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055484",
            "telephone_number": "501-257-5072",
            "fax_number": "501-332-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-MONTGOMERY",
        "first_name": "KARLA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-3005",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "E3005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "MONTGOMERY",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.