James W Montag Jr., P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA787 Issued in TN

Practice address

415 Boones Creek Rd
Suite 1
Jonesborough, TN 37659-5165

Phone

(423) 788-3080

Fax

(423) 913-2810

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Emergency Care Physicians, Inc.

  • Emergency Medicine Physician
  • Johnson City, TN
  • NPI 1669410304
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1760520159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BOONES CREEK RD",
            "address_2": "SUITE 1",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376595165",
            "telephone_number": "423-788-3080",
            "fax_number": "423-913-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BOONES CREEK RD",
            "address_2": "SUITE 1",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376595165",
            "telephone_number": "423-788-3080",
            "fax_number": "423-913-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAG",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517920",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Frederick McCormick I
• Chloe Celeste Meade, APRN, FNP-BC
• David Mehrle
• Daniel Jezzard Miller, M.D.
• Kaleb Miller
• John Christopher Moore, PT
• Erik Joseph Morganstern, D.C.
• Tim Joseph Morganstern, D.C.
• National Birth Centers, Inc.
• Sarah Marie Nuessen-Landry, PT

• Medical Physician Assistant in Jonesborough, TN
• Providers in Jonesborough, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.