MR. LARRY ALLEN MONTGOMERY (APRN, AGNP-C) – Emergency Response System Companies, NPI 1760092340
Emergency Response System Companies
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Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for MR. LARRY ALLEN MONTGOMERY (APRN, AGNP-C)
1611 S Utica Ave Ste 101
Tulsa, OK 741044909
Phone: (918) 340-6477
Type: Location
866 ORANGE TER
MACON, GA 312012151
Phone: (478) 246-1114
Fax: (478) 202-2488
Type: Mailing
389 MULBERRY ST STE 200
MACON, GA 312017917
Phone: (478) 743-9123
Type: Location
1445 Woodmont Ln NW Ste 2866
Atlanta, GA 303182866
Phone: (478) 246-1114
Fax: (478) 202-2488
Type: Location
3780 Eisenhower Pkwy
Macon, GA 312060800
Phone: (478) 633-5500
Type: Location
1900 E ITHICA ST
BROKEN ARROW, OK 740121820
Phone: (918) 346-3094
Type: Mailing
673 PINE ST
MACON, GA 312012855
Phone: (478) 743-9123
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-04-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230407000074 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 102 | 34 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 28 | 21 | $0 |
Insurance plans in this area (ZIP 74104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| N E U R O L O G Y | GA | |
| N E U R O L O G Y | GA | |
| N E U R O L O G Y | GA |
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