Kevin Montgomery, PA-C is a
Physician Assistant - Medical based in Atlanta, Georgia. Kevin Montgomery is licensed to practice in Georgia (license number 12883) and his current practice location is
2174 N Druid Hills Rd Ne, Atlanta, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 785-5437.
NPI number for Kevin Montgomery is 1073023636 and his current mailing address is 2174 N Druid Hills Rd Ne, Atlanta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073023636.
Healthcare Provider's Profile
| Full Name | Kevin Montgomery |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 2174 N Druid Hills Rd Ne, Atlanta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073023636
- Provider Enumeration Date: 10/09/2017
- Last Update Date: 11/03/2025
Medical Identifiers
Medical identifiers for Kevin Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073023636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 12883 (Georgia) | Primary |
| 101YM0800X | Counselor - Mental Health | 005095 (Georgia) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPC010470 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Montgomery is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin Montgomery, PA-C
2174 N Druid Hills Rd Ne,
Atlanta, GA 30329-3102
Ph: () - | Kevin Montgomery, PA-C
2174 N Druid Hills Rd Ne,
Atlanta, GA 30329-3102
Ph: (404) 785-5437 |
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