| Danny Jonathan Montenegro, MD | |
| 
					1120 15th St # Hb-4000, Augusta, GA 30912-0004  | |
| (706) 721-3159 | |
| Not Available | 
| Full Name | Danny Jonathan Montenegro | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 1120 15th St # Hb-4000, Augusta, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780209049 | NPI | - | NPPES | 
| 11986 | Other | GA | RESIDENCY TRAINING PERMIT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 11986 (Georgia) | Primary | 
| Entity Name | Emergency Medical Care Facilities Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538345855 PECOS PAC ID: 6103837877 Enrollment ID: O20060509000565  | 
| Entity Name | West Tennessee Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009  | 
| Entity Name | Wt University Medical Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023572344 PECOS PAC ID: 3779824719 Enrollment ID: O20190401001719  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Danny Jonathan Montenegro, MD 404 Arrowhead Trl, Canton, GA 30114-6592 Ph: (678) 577-1429  | Danny Jonathan Montenegro, MD 1120 15th St # Hb-4000, Augusta, GA 30912-0004 Ph: (706) 721-3159  | 
Dr. Toya Hester Kelley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157  | |
Janis S. Coffin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264  | |
Dr. Thomas Christopher Smith, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239  | |
Dr. William Robert Rout, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 963 Bennock Mill Dr., Augusta, GA 30906 Phone: 352-538-5899  | |
Angela Overstreet Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2607 Commons Blvd, Augusta, GA 30909 Phone: 706-750-8601  | |
Shahed Anam Ibn Faruk,  Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273  | |
Mark David Beckman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157  |