Kristen Sue Montgomery, PHD CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

RN243094 Issued in GA

Practice address

274 Big a Rd
Toccoa, GA 30577-6002

Phone

(706) 886-3169

Fax

(706) 282-5371

NPI assigned

Nov 6, 2014

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1770989576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 ANTRIM AVE",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293699154",
            "telephone_number": "843-861-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776002",
            "telephone_number": "706-886-3169",
            "fax_number": "706-282-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KRISTEN",
        "middle_name": "SUE",
        "credential": "PHD CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NC",
            "license": "606",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN243094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Irving Miller, RPH
• William A Mills, MD
• Kalpesh Mistry, MD
• Herschel Earle Mize
• Moderneyes Vision Care, LLC (Family Eye Care of Toccoa)
• Cecilia Pickett Moore, CPNP
• Ann M Mottershaw, MD
• Lauren R Murphree
• Mary Katherine Ness Murrey, CPM, LM
• Next to Me, LLC

• Midwife in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.