CHADE MONTGOMERY PA-C
NPI 1346064961
Physician Assistant in Fayetteville, NC

NPI Status: Active since November 11, 2024

Contact Information

2301 ROBESON ST STE 203
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 615-3220

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  • Individual
  • Male
  • Physician Assistant

About CHADE MONTGOMERY

This page provides the complete NPI Profile along with additional information for Chade Montgomery, a primary care provider established in Fayetteville, North Carolina with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1346064961 assigned on November 2024. The practitioner's primary taxonomy code is 363A00000X with license number 0010-14865 (NC). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1346064961
Provider Name
CHADE MONTGOMERY PA-C
Gender
Male
Entity Type
Individual
Location Address
2301 ROBESON ST STE 203 FAYETTEVILLE, NC 28305
Location Phone
(910) 615-3220
Mailing Address
606 SPENCE ENCLAVE WAY NASHVILLE, TN 37210
Is Sole Proprietor?
Yes
Enumeration Date
11-11-2024
Last Update Date
06-20-2025
Code Navigator

A primary care provider (PCP) like Chade Montgomery 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

Secondary Locations

  • 1638 Owen Dr
    Fayetteville, NC 28304
    (910) 615-4000
  • 150 Robeson St
    Fayetteville, NC 28301
    (910) 615-1000

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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0010-14865
License State
NC
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346064961
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386068912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 0 + 6 + 8 + 9 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1346064961 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

AMBER MICHELLE WATKINS

Physician Assistant

2301 ROBESON ST STE 203
FAYETTEVILLE, NC
ZIP 28305

(910) 615-3220

TIFFANY JOYCE ULU

Physician Assistant

2301 ROBESON ST STE 203
FAYETTEVILLE, NC
ZIP 28305

(910) 615-3220

CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC

Urology

2301 ROBESON ST STE 203
FAYETTEVILLE, NC
ZIP 28305

(910) 615-3220

DR. KATHRYN ANN LIPSCOMB M.D.

Urology

2301 ROBESON ST STE 203
FAYETTEVILLE, NC
ZIP 28305

(910) 615-3220

MS. SABRINA NICOLE BAZAN FNP

Nurse Practitioner

(Family)

2301 ROBESON ST STE 203
FAYETTEVILLE, NC
ZIP 28305

(910) 615-3220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346064961, enumerated as an "individual" on November 11, 2024.

The provider is located at 2301 ROBESON ST STE 203 FAYETTEVILLE, NC 28305 and the phone number is (910) 615-3220.

Physician Assistant with taxonomy code 363A00000X.