Larry Allen Montgomery, APRN, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

211116 Issued in OK

Practice address

673 Pine St
Macon, GA 31201-2855

Phone

(478) 743-9123

NPI assigned

Aug 7, 2020

Last updated

Jun 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 11

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians

Neurology Associates LLPGroup PAC ID 9032107479, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Neurology Associates LLP

  • Neurology Physician
  • Macon, GA
  • NPI 1639206386
  Medicare reassignment Care Compare group NPD
• Georgia Primary Care LLC

  dba Primary Clinic

  • Primary Care Clinic/Center
  • Macon, GA
  • NPI 1548025596
  NPD Authorized official
• Primary Care at Home LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Tulsa, OK
  • NPI 1871148908
  NPD Authorized official
• Georgialina Physical Therapy Associates LLC

  dba Athletico Physical Therapy

  • Physical Therapist
  • Augusta, GA
  • NPI 1679286934
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Medical Center of Central Georgia Inc

  dba Atrium Health Navicent The Medical Center

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1760092340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 ORANGE TER",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012151",
            "telephone_number": "478-246-1114",
            "fax_number": "478-202-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 PINE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012855",
            "telephone_number": "478-743-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 S Utica Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741044909",
            "country_code": "US",
            "telephone_number": "918-340-6477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1445 Woodmont Ln NW Ste 2866",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303182866",
            "country_code": "US",
            "telephone_number": "478-246-1114",
            "fax_number": "478-202-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "LARRY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "24191369",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "GAA-NP001276",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "314882",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11024684",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "14141481-4405",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-83579-072",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "80565",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "NP500008018",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "211116",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61605671",
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe County Nursing Home LLC (Bolingreen Health and Rehabilitation)
• Michael Anthony Montano
• Monte Home Care
• Matthew Raymond Monte, MD
• Jaurdin Amari Montgomery
• Margie Montgomery, NP
• Sebastian Alan Montgomery, MD
• Kathleen Montlouis
• Chase Moody
• Melissa Moody, OTA

• Adult Health Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.