Individual provider Active NPI

Alcyonita Montgomery

  • Family Nurse Practitioner
  • Sugar Hill, GA
National Provider Identifier
1801570965
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN272461 Issued in GA
Practice address
6001 Cumming Hwy
Sugar Hill, GA 30518-6112
Phone
(678) 546-4062
NPI assigned
Jun 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN272461 GA Primary

Addresses

Primary practice location

6001 Cumming Hwy
Sugar Hill, GA 30518-6112

Mailing address

934 Pierce Ivy CT
Lawrenceville, GA 30043-1316
Phone (678) 770-7158

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230831001429 GA Practitioner - Nurse Practitioner 0244693745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Oncology Services LLCGroup PAC ID 1850627423, 29 clinicians

Practice addresses (Care Compare)

631 Professional Dr
Suite 450
Lawrenceville, GA 30046-3370
Phone (770) 963-8030

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Georgia LLC Family CurrentSince Jul 17, 2023 Accepting new patients
North Atlanta Oncology Services LLC CurrentSince Apr 28, 2025 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Apr 17, 2024 Accepting new patients
Kroger Co PastSince Jun 11, 2023 Accepting new patients
TLC of Georgia LLC Family PastSince Jul 17, 2023 Accepting new patients

Locations

1100 Northside Forsyth Dr
Ste 140
Cumming, GA 30041
Phone (720) 382-1012

2098 Teron Trce
Ste 400
Dacula, GA 30019
Phone (678) 312-6800

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

631 Professional Dr
Ste 450
Lawrenceville, GA 30046
Phone (770) 963-8030

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

6001 Cumming Hwy
Ste 1
Sugar Hill, GA 30518
Phone (678) 546-4062

400 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (770) 831-3857

Interoperability endpoints

  • Direct secure messaging: alcyonita.montgomery@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 5

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 3

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": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1801570965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 PIERCE IVY CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300431316",
            "telephone_number": "678-770-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 CUMMING HWY",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305186112",
            "telephone_number": "678-546-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ALCYONITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN272461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

Verify at the official NPI Registry.