LATOYA BONITA ROUX MONTGOMERY NP
NPI 1063784494
Nurse Practitioner - Acute Care in Atlanta, GA
About Latoya Bonita Roux Montgomery Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATOYA BONITA ROUX MONTGOMERY NP (NPI 1063784494) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (RN191082) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Latoya Bonita Roux Montgomery Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Latoya Montgomery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 539 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Latoya Montgomery's NPI number?
The NPI number for Latoya Montgomery is 1063784494. It was assigned to this individual provider in the NPPES registry on February 1, 2012.
Where is Latoya Montgomery located?
Latoya Montgomery practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 605-2800.
What is Latoya Montgomery's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Latoya Montgomery enrolled in Medicare?
Yes. Latoya Montgomery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Latoya Montgomery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latoya Montgomery reassigns Medicare benefits to Piedmont Cardiology Of Atlanta, LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latoya Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Latoya Montgomery was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Latoya Bonita Roux Montgomery, NP · NPI 1063784494
Acute Care physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since February 1, 2012.
## Identity
- **NPI:** 1063784494 (Entity type: Individual)
- **Enumerated:** February 1, 2012
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN191082 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1968 PEACHTREE RD NW, Atlanta, GA 30309-1281
- **Phone:** (404) 605-2800 · **Fax:** (404) 351-5983
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Piedmont Cardiology Of Atlanta, LLC (NPI 1275729691, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** February 27, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1063784494) · Data from the CMS NPPES public registry.