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MONTGOMERY FAMILY CLINIC
NPI 1235429648
Clinic/Center - Primary Care in Madison, MS

Active since April 19, 2011
122 WEISENBERGER RD, MADISON, MS 39110(601) 790-9098(601) 790-9098 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montgomery Family Clinic NPPES

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

MONTGOMERY FAMILY CLINIC (NPI 1235429648) is a healthcare organization registered as a primary care in Madison, Mississippi and active in the NPI registry since April 2011. The organization lists Susan L Montgomery, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1235429648
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMONTGOMERY FAMILY CLINIC
Location Address122 WEISENBERGER RDMadison, MS 39110-7993
Mailing Address122 Weisenberger RdMadison, MS 39110-7993 · (601) 790-9098 · Fax (601) 790-9098
Phone(601) 790-9098
Fax(601) 790-9098
Organization SubpartNo
Authorized OfficialSusan L MontgomeryOwner/provider · (601) 790-9098
Enumeration DateApril 19, 2011
✔ NPI 1235429648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MS · R524174
122 WEISENBERGER RD, Madison, MS 39110
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Other Providers at the Same Location NPPES 2

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

ELLEN PEYTON MOORE DNP, APRN, AGPCNP-BC
Nurse Practitioner (Adult Health)
122 WEISENBERGER RD
MADISON, MS 39110
Madison County (601) 790-9098
MRS. ARIANNA LEIGH BIERDEMAN R.D.
Dietitian, Registered
122 WEISENBERGER RD
MADISON, MS 39110
Madison County (601) 790-9098

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 Montgomery Family Clinic's NPI number?

The NPI number for Montgomery Family Clinic is 1235429648. It was assigned to this organization in the NPPES registry on April 19, 2011.

Where is Montgomery Family Clinic located?

Montgomery Family Clinic is located at 122 Weisenberger Rd, Madison, MS 39110. The listed phone number is (601) 790-9098.

What is Montgomery Family Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Montgomery Family Clinic was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.