GWENDOLYN ELAINE MONTGOMERY NURSE PRACTITIONER
NPI 1629635859
Nurse Practitioner - Acute Care in Ellenwood, GA

Q: What is Gwendolyn Montgomery's NPI number?

The NPI number for Gwendolyn Montgomery is 1629635859. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Q: What is Gwendolyn Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since May 23, 2019PECOS Enrolled

91.6/100

CMS Quality Rating

3962 BUSBY MILL CT, ELLENWOOD, GA 30294(404) 314-7295 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 29, 2020, May 23, 2019 (2 updates tracked since 2019).

On this page

About Gwendolyn Elaine Montgomery Nurse Practitioner NPPES

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

GWENDOLYN ELAINE MONTGOMERY NURSE PRACTITIONER (NPI 1629635859) is an individual acute care provider in Ellenwood, Georgia, licensed in Georgia (RN176860) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629635859

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameGWENDOLYN ELAINE MONTGOMERYCredential: NURSE PRACTITIONER

Location Address3962 BUSBY MILL CTEllenwood, GA 30294-2052

Mailing Address3962 Busby Mill CtEllenwood, GA 30294-2052

Phone(404) 314-7295

Sole ProprietorYes

Enumeration DateMay 23, 2019

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 29, 2020

✔ NPI 1629635859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · RN176860

3962 BUSBY MILL CT, Ellenwood, GA 30294

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwendolyn Elaine Montgomery Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

19 services18 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

15 services13 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30294 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.42

Promoting Interoperability

100

Improvement Activities

Cost

Other Providers at the Same Location NPPES

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

PREMIER HEALTHCARE PROVIDERS, LLC

Nurse Practitioner (Adult Health)

3962 BUSBY MILL CT
ELLENWOOD, GA 30294

Clayton County (404) 314-7295

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 Gwendolyn Montgomery's NPI number?

The NPI number for Gwendolyn Montgomery is 1629635859. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Gwendolyn Montgomery located?

Gwendolyn Montgomery practices at 3962 Busby Mill Ct, Ellenwood, GA 30294. The listed phone number is (404) 314-7295.

What is Gwendolyn Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Gwendolyn Montgomery enrolled in Medicare?

Yes. Gwendolyn Montgomery is registered in the Medicare PECOS enrollment system.

What insurance does Gwendolyn Montgomery accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gwendolyn Montgomery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwendolyn Montgomery was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.