CAMILLE DANIELLE MONTGOMERY (PA) – Physician Assistant, NPI 1306588561

CAMILLE DANIELLE MONTGOMERY (PA) is a healthcare provider. based in Huntsville, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA.2044 (AL). The NPI Number for CAMILLE DANIELLE MONTGOMERY (PA) is 1306588561

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CAMILLE DANIELLE MONTGOMERY (PA)
NPI
1306588561
Phone
(256) 533-1600
Address
201 GOVERNORS DR SW FL 1
Enumeration Date
8 April 2022
Last Update Date
19 September 2022

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2565331600
Graduation Year
2022 (4 years ago)
PAC ID
3072999119
Group Practice PAC ID
7214221464
Professional Enrollment ID
I20220927003688
Address ID
AL358015171HU201XXSWXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

Provider Addresses for CAMILLE DANIELLE MONTGOMERY (PA)

  • 201 GOVERNORS DR SW FL 1

    HUNTSVILLE, AL 358015171

    Phone: (256) 533-1600

    Fax: (256) 539-0859

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Medtronic, Inc. ($72).

Total Amount

$117

General + Research + Ownership

Payments

3

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220927003688IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes1616$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion1311$0
View full utilization report →

Insurance plans in this area (ZIP 35801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214221464View full group profile
NameSpecialtyState
N E U R O S U R G E R YAL
Physician AssistantAL
Physician AssistantAL
Physician AssistantAL
N E U R O S U R G E R YAL
Nurse PractitionerAL
Physician AssistantAL
Nurse PractitionerAL
Physician AssistantAL
Physical Medicine And RehabilitationAL

Reviews

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Frequently asked questions

How do payers reference CAMILLE DANIELLE MONTGOMERY (PA)?
For CAMILLE DANIELLE MONTGOMERY (PA), use NPI 1306588561 as the unique 10-digit identifier.
Is there an active status for CAMILLE DANIELLE MONTGOMERY (PA)?
For scheduling context, CAMILLE DANIELLE MONTGOMERY (PA) is shown as active in the registry.
How would a patient describe CAMILLE DANIELLE MONTGOMERY (PA)'s focus?
For CAMILLE DANIELLE MONTGOMERY (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with CAMILLE DANIELLE MONTGOMERY (PA)?
Directory geography for CAMILLE DANIELLE MONTGOMERY (PA) centers on Huntsville, Alabama.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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