JAMES CALVIN MONTGOMERY MD
NPI 1043079312
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC

Q: What is James Montgomery's NPI number?

The NPI number for James Montgomery is 1043079312. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is James Montgomery's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for James Montgomery was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 18, 2024PECOS Enrolled

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-1595(843) 692-1122 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James Calvin Montgomery Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES CALVIN MONTGOMERY MD (NPI 1043079312) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043079312

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJAMES CALVIN MONTGOMERYCredential: MD

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address809 82nd PkwyMyrtle Beach, SC 29572-4607 · (843) 692-1595 · Fax (843) 692-1122

Phone(843) 692-1595

Fax(843) 692-1122

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1043079312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

809 82ND PKWY, Myrtle Beach, SC 29572

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Calvin Montgomery Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.