Ron Blake Montgomery, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

2728 Issued in GA

Practice address

134 Hawkins Rd
Armuchee, GA 30105-2069

Phone

(706) 506-9877

Fax

(972) 349-1249

NPI assigned

Feb 4, 2015

Last updated

Feb 4, 2015By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1801286364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HAWKINS RD",
            "city": "ARMUCHEE",
            "state": "GA",
            "postal_code": "301052069",
            "telephone_number": "706-506-9877",
            "fax_number": "972-349-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HAWKINS RD",
            "city": "ARMUCHEE",
            "state": "GA",
            "postal_code": "301052069",
            "telephone_number": "706-506-9877",
            "fax_number": "972-349-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "RON",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "GA",
            "license": "2728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNIM",
            "identifier": "2278",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Fowler
• Frank L Hampton, MD
• Patricia Wellborn Hampton, DMD
• Alaina Candice Lively, FNP-C
• Melanie Lane Morris, RDH
• Joshua Nathaniel Payne, PHD, LMFT-S
• Robert J Puckett Jr., MD
• Redmond Physicians Practice Co. II (dba Redmond Family Care Center at Armuchee)
• Erica Dostie Russo-Alesi, FNP-C

• Electroneurodiagnostic Specialist/Technologist in Armuchee, GA
• Providers in Armuchee, GA by specialty
• Electroneurodiagnostic Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.