KEVIN MONTGOMERY (PA-C) – Medical Physician Assistant, NPI 1073023636
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KEVIN MONTGOMERY (PA-C)
2993 SANDY PLAINS RD STE 110
MARIETTA, GA 300664695
Phone: (470) 378-0988
Type: Mailing
2174 N DRUID HILLS RD NE
ATLANTA, GA 303293102
Phone: (404) 785-5437
Type: Location
605 Big Shanty Rd NW Ste 300
Kennesaw, GA 301443646
Phone: (404) 785-5437
Type: Location
859 Mount Vernon Hwy NE Ste 300
Atlanta, GA 303284255
Phone: (404) 785-5437
Type: Location
1001 Johnson Ferry Rd
Atlanta, GA 303421605
Phone: (404) 785-5437
Type: Location
2220 N Druid Hills Rd NE
Atlanta, GA 303293117
Phone: (404) 785-5437
Type: Location
1816 BROOKE BEACH DR
NAVARRE, FL 325667455
Phone:
Type: Mailing
340 BOATNER RD
EGLIN AFB, FL 325421391
Phone: (850) 883-9223
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2025-08-25
PECOS data refreshed: 2026-05-27
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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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30066)
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