Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PENELOPE MONTGOMERY
NPI 1154230688
Registered Nurse in Southaven, MS

Active since September 02, 2026
391 SOUTHCREST CIR STE 200, SOUTHAVEN, MS 38671(901) 271-1000(662) 996-1209 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Penelope Montgomery NPPES

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

PENELOPE MONTGOMERY (NPI 1154230688) is an individual registered nurse in Southaven, Mississippi, licensed in Mississippi (857656) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1154230688
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NamePENELOPE MONTGOMERY
Location Address391 SOUTHCREST CIR STE 200Southaven, MS 38671-6729
Mailing Address391 Southcrest Cir Ste 200Southaven, MS 38671-6729 · (901) 271-1000 · Fax (662) 996-1209
Fax(662) 996-1209
Sole ProprietorYes
Enumeration DateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
NPI 1154230688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MS · 857656
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
391 SOUTHCREST CIR STE 200, Southaven, MS 38671

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
391 SOUTHCREST CIR STE 200
SOUTHAVEN, MS 38671
Internal Medicine (Interventional Cardiology)
391 SOUTHCREST CIR STE 200
SOUTHAVEN, MS 38671
Internal Medicine (Interventional Cardiology)
391 SOUTHCREST CIR STE 200
SOUTHAVEN, MS 38671
Physician Assistant
391 SOUTHCREST CIR STE 200
SOUTHAVEN, MS 38671

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 Penelope Montgomery's NPI number?

The NPI number for Penelope Montgomery is 1154230688. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Where is Penelope Montgomery located?

Penelope Montgomery practices at 391 Southcrest Cir Ste 200, Southaven, MS 38671. The listed phone number is (901) 271-1000.

What is Penelope Montgomery's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Penelope Montgomery was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.