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DAVID JAMES MONTGOMERY JR.
NPI 1073140505
Internal Medicine in Lawrenceville, GA

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
88.05/100
CMS Quality Rating
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-3273 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2024, Apr 27, 2024, Apr 14, 2023 and 1 more (4 updates tracked since 2020).

About David James Montgomery Jr. NPPES

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

DAVID JAMES MONTGOMERY JR. (NPI 1073140505) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Georgia (99695) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073140505
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID JAMES MONTGOMERY JR.
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694
Mailing Address433 Bolivar StNew Orleans, LA 70112-7021
Phone(678) 312-3273
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateJune 29, 20244 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
✔ NPI 1073140505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 99695✔ Licensed in LA · 331148
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 331148 (LA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1433 Bolivar StNew Orleans, LA 70112-7021 · Phone (504) 568-4808
Location 22000 Canal StNew Orleans, LA 70112-3018 · Phone (504) 702-3000

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

David James Montgomery Jr. 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.

PECOS PAC ID2466876701
PECOS Enrollment IDI20240719001361
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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Montgomery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Atlanta Professional Services LLC
20 mi
Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group
NPI 1316959869 (855) 709-4535
Louisiana State University School Of Medicine In New Orleans Faculty G
451 mi
Multi-Specialty
478 S JOHNSON ST FL 6
New Orleans, LA 70112
  • Reassigned Medicare billing, Louisiana enrollment
  • 931 clinicians in this Medicare group
NPI 1477582526 (504) 412-1819

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
122 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services38 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.6
Promoting Interoperability100
Improvement Activities40
Cost58.23

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.

DR. ROBERT E BLACK III MD
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056
HEATHER GAIL KOTULA PAAA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-9905
MR. THOMAS J GLANCY PA-AA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056
MS. ANDREA PEYTON MOE PA
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4357
MRS. KATHERINE ELAINE CAMPBELL THOMAS NP
Nurse Practitioner (Adult Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County No phone listed
SOLOMON GEZAHGN ABEBE
Nurse Practitioner (Psychiatric/Mental Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (229) 299-7476
CHINWE OGBODO
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-5280
KAPILDEV PRASAD PAAA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056

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 David Montgomery's NPI number?

The NPI number for David Montgomery is 1073140505. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is David Montgomery located?

David Montgomery practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-3273.

What is David Montgomery's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Montgomery enrolled in Medicare?

Yes. David 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 organizations bill Medicare for David Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Montgomery reassigns Medicare benefits to 2 organizations: North Atlanta Professional Services LLC (Atlanta, GA) and Louisiana State University School Of Medicine In New Orleans Faculty G (New Orleans, LA). Each 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 David Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Montgomery affiliated with any hospitals?

According to CMS data, David Montgomery is affiliated with Northside Hospital Gwinnett, Northside Hospital and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for David Montgomery was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.