NPIMap

Individual provider Active NPI

David Arnold Montgomery III, M.D.

  • Family Medicine Physician
  • Hendersonville, TN
National Provider Identifier
1932462959
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52743 Issued in TN
Practice address
264 New Shackle Island Rd Ste 107
Hendersonville, TN 37075-2481
Phone
(615) 824-4244
Fax
(615) 824-5916
NPI assigned
Jun 25, 2012
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52743 TN Primary

Addresses

Primary practice location

264 New Shackle Island Rd Ste 107
Hendersonville, TN 37075-2481

Mailing address

264 New Shackle Island Rd Ste 107
Hendersonville, TN 37075-2481
Phone (615) 824-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729010335 TN Practitioner - Family Practice 1557675998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

264 New Shackle Island Rd
Suite 107
Hendersonville, TN 37075-2480
Phone (615) 824-4244

264 New Shackle Island Rd
Suite 107
Hendersonville, TN 37075-2481

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.12 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL34902SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Physicians Alliance PC Family Medicine CurrentSince Aug 3, 2015 Accepting new patients
NHC Healthcare-Hendersonville LLC Past Accepting new patients

Locations

264 New Shackle Island Rd
Ste 107
Hendersonvlle, TN 37075
Phone (615) 824-4244

Interoperability endpoints

  • Direct secure messaging: david.montgomery@cfptn.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDCBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
NHC Healthcare, HendersonvilleHendersonville, TN, CCN 445191 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 18, 2018
Jun 16, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1932462959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD STE 107",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752481",
            "telephone_number": "615-824-4244",
            "fax_number": "615-824-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD STE 107",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752481",
            "telephone_number": "615-824-4244",
            "fax_number": "615-824-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DAVID",
        "middle_name": "ARNOLD",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "52743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.