EMMETT FULCHER MONTGOMERY MD
NPI 1356337646
Family Medicine in Davidson, NC

Q: What is Emmett Montgomery's NPI number?

The NPI number for Emmett Montgomery is 1356337646. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Q: What is Emmett Montgomery's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Emmett Montgomery was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment

104 KNOX CT STE 100, DAVIDSON, NC 28036(704) 892-5454(704) 892-5858 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2022, Apr 25, 2018 (2 updates tracked since 2018).

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About Emmett Fulcher Montgomery Md NPPES

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

EMMETT FULCHER MONTGOMERY MD (NPI 1356337646) is an individual family medicine provider in Davidson, North Carolina, licensed in North Carolina (35242) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mooresville, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1356337646

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameEMMETT FULCHER MONTGOMERYCredential: MD

Location Address104 KNOX CT STE 100Davidson, NC 28036-0590

Mailing AddressPo Box 4329Davidson, NC 28036-4329 · (704) 892-5454 · Fax (704) 892-5858

Phone(704) 892-5454

Fax(704) 892-5858

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 22, 2005

Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration

NPPES CertifiedDecember 20, 2022

✔ NPI 1356337646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 35242

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

104 KNOX CT STE 100, Davidson, NC 28036

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Secondary Practice Location 1

Location 1435 E Statesville AveMooresville, NC 28115-2598 · Phone (704) 663-5056 · Fax (704) 663-5780

Other Identifiers 1

Medicaid8960083NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emmett Fulcher Montgomery Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820078736

PECOS Enrollment IDI20100826000378

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

74 services57 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

IOANNA KOSTI

Social Worker (Clinical)