DR. JUANDRIA NICOLE MONTGOMERY (FNP-C) – Family Nurse Practitioner, NPI 1730208083
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JUANDRIA NICOLE MONTGOMERY (FNP-C)
4501 CIRCLE 75 PKWY SE APT 1012
ATLANTA, GA 303393985
Phone: (423) 443-1145
Type: Mailing
2994 ATLANTA RD SE
SMYRNA, GA 300803655
Phone: (866) 389-2727
Fax: (401) 216-3854
Type: Location
6447 SATJANON DR
OOLTEWAH, TN 373637241
Phone: (423) 443-1145
Type: Mailing
6025 STAGE RD STE 42-346
BARTLETT, TN 381348374
Phone: (901) 443-7353
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $853.
Total Amount is formed as General ($853) + Research ($0) + Ownership ($0) = $853.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($274).
Total Amount
$853
General + Research + Ownership
Payments
9
Total payment records
General Amount
$853
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $274 |
| Neurelis, Inc. | $176 |
| GENZYME CORPORATION | $124 |
| Lundbeck LLC | $118 |
| Amgen Inc. | $104 |
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: 2013-07-16
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 |
|---|---|---|---|---|
| I20130716000674 | I | Nurse Practitioner | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30339)
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