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MYAN SIMONE MONTGOMERY
NPI 1336030501
Case Manager/Care Coordinator in Valdosta, GA

Active since July 14, 2025
1502 PAGE DR, VALDOSTA, GA 31602(229) 630-8292 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myan Simone Montgomery NPPES

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

MYAN SIMONE MONTGOMERY (NPI 1336030501) is an individual case manager/care coordinator provider in Valdosta, Georgia, licensed in Georgia (055930457) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1336030501
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMYAN SIMONE MONTGOMERY
Location Address1502 PAGE DRValdosta, GA 31602-7203
Mailing Address1502 Page DrValdosta, GA 31602-7203 · (229) 630-8292
Phone(229) 630-8292
Sole ProprietorYes
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1336030501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in GA · 055930457
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1502 PAGE DR, Valdosta, GA 31602
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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

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 Myan Montgomery's NPI number?

The NPI number for Myan Montgomery is 1336030501. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Myan Montgomery located?

Myan Montgomery practices at 1502 Page Dr, Valdosta, GA 31602. The listed phone number is (229) 630-8292.

What is Myan Montgomery's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Myan Montgomery was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.