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THOMAS MONTGOMERY MD
NPI 1639117492
Internal Medicine in Charlotte, NC

Active since June 03, 2006PECOS Enrolled
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1242 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 27, 2021, Sep 20, 2021, Sep 15, 2021 and 44 more (47 updates tracked since 2018).

About Thomas Montgomery Md NPPES

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

THOMAS MONTGOMERY MD (NPI 1639117492) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (2013-01235) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639117492
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS MONTGOMERYCredential: MD
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 446-1242
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateSeptember 27, 202147 updates tracked since enumeration
✔ NPI 1639117492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2013-01235
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1350 S KINGS DR, Charlotte, NC 28207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Montgomery Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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 20

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

KRISTINA JASMIN HARRELL MD
Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1422
WILLIAM LANE JR. MD
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
LYNN AMY BOARDMAN MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ALKA H PATEL PHARMD
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1405
PAULA JEANETTE LASTORIA FNP
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1255
GRANT BLANCHARD MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ASHLYNN BRISBEN OVERCASH NP
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
STACEY HAYNES ARCHER CNM
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544

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 Thomas Montgomery's NPI number?

The NPI number for Thomas Montgomery is 1639117492. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Thomas Montgomery located?

Thomas Montgomery practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1242.

What is Thomas Montgomery's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Montgomery enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Montgomery was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.