| Gary L Montgomery, MD | |
|
1100 Lake Hearn Dr, Ste 450, Atlanta, GA 30342 | |
| (404) 252-7339 | |
| (404) 257-0337 |
| Full Name | Gary L Montgomery |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Pulmonology |
| Location | 1100 Lake Hearn Dr, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730196882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0214X | Pediatrics - Pediatric Pulmonology | 034095 (Georgia) | Primary |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20230619000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Montgomery, MD 1100 Lake Hearn Dr, Ste 450, Atlanta, GA 30342 Ph: (404) 252-7339 | Gary L Montgomery, MD 1100 Lake Hearn Dr, Ste 450, Atlanta, GA 30342 Ph: (404) 252-7339 |
Dr. Joel A. Friedlander, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2220 N Druid Hills Rd Ne, Atlanta, GA 30329 Phone: 404-785-3020 | |
Dr. Seth Benjamin Marcus, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 993-d Johnson Ferry Rd Ne Suite 440, Atlanta, GA 30342 Phone: 404-257-0799 | |
Carrie Ng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-7141 Fax: 404-785-7989 | |
Jacob A Humphrey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2174 N Druid Hills Rd Ne, Atlanta, GA 30329 Phone: 404-785-5437 | |
Dr. Bharath Srivatsa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328 Phone: 404-252-9751 Fax: 678-990-5763 | |
Michael Mallory, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-250-2972 | |
Briana Cary Patterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2015 Uppergate Dr, Atlanta, GA 30322 Phone: 404-727-6721 |