Primary Care at Home LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PRIMARY CARE AT HOME LLC

Practice address

9526 S 86TH East Ave
Tulsa, OK 74133-6415

Phone

(918) 346-3094

NPI assigned

Aug 6, 2019

Organization subpart

No

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

Authorized official

Name

Larry Montgomery, MSN, RNNPI 1760092340

Title

Practice Manager

Phone

(918) 346-3094

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Allen Montgomery, APRN, AGNP-C

  • Adult Health Nurse Practitioner
  • Macon, GA
  • NPI 1760092340
  NPD Authorized official

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1871148908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 S 86TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9526 S 86TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336415",
            "telephone_number": "918-346-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "918-346-3094",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AndvancedMD",
            "affiliation": "N",
            "endpointDescription": "Saas HIPAA Compliant EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9526 S 86th East Ave",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741336415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Thomas Priest
• Adelaide L Priester, D.O.
• Lauren Priester, MA, LPC-S
• Jessica Prigmore
• Primary Care and Wellness of Tulsa, PLLC
• Primary Care of Tulsa
• Primary Care Physicians of Tulsa Region PC
• Prime Care Tulsa, LLC
• Prime Medical Group Corp
• Prime Source DME of Oklahoma

• Geriatric Medicine (Family Medicine) Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Geriatric Medicine (Family Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.