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: July 19, 2026.

  • Organization
  • Clinic/Center
  • Primary Care

About MONTGOMERY FAMILY CLINIC

This page provides the complete NPI Profile along with additional information for Montgomery Family Clinic, a primary care provider established in Madison, Mississippi operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1235429648 assigned on April 2011. The practitioner's primary taxonomy code is 261QP2300X with license number R524174 (MS). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Susan L Montgomery Dnp, Rn, Fnp-dc (Owner/provider)

NPI
1235429648 Verify this NPI
Provider Name
MONTGOMERY FAMILY CLINIC
Entity Type
Organization
Location Address
122 WEISENBERGER RD MADISON, MS 39110
Location Phone
(601) 790-9098
Location Fax
(601) 790-9098
Mailing Address
122 WEISENBERGER RD MADISON, MS 39110
Mailing Phone
(601) 790-9098
Mailing Fax
(601) 790-9098
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2011
Last Update Date
04-19-2011
Code Navigator

A primary care provider (PCP) like Montgomery Family Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
R524174
License State
MS

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SUSAN L MONTGOMERY DNP, RN, FNP-DC

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(601) 790-9098

Reviews for MONTGOMERY FAMILY CLINIC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dietitian, Registered
122 WEISENBERGER RD
MADISON, MS 39110
Nurse Practitioner (Adult Health)
122 WEISENBERGER RD
MADISON, MS 39110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235429648, enumerated as an "organization" on April 19, 2011.

The provider is located at 122 WEISENBERGER RD MADISON, MS 39110 and the phone number is (601) 790-9098.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.