JEFFREY MONTGOMERY
NPI 1639497241
Pediatrics - Pediatric Emergency Medicine in Little Rock, AR

Q: What is Jeffrey Montgomery's NPI number?

The NPI number for Jeffrey Montgomery is 1639497241. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Q: What is Jeffrey Montgomery's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Active since May 06, 2010PECOS Enrolled

1 CHILDRENS WAY, SLOT # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jeffrey Montgomery NPPES

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

JEFFREY MONTGOMERY (NPI 1639497241) is an individual pediatric emergency medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-7963) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639497241

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameJEFFREY MONTGOMERY

Location Address1 CHILDRENS WAY, SLOT # 653Little Rock, AR 72202-3500

Mailing Address7419 Ohio St Apt 1bLittle Rock, AR 72207-5066

Phone(501) 364-1100

Sole ProprietorYes

Enumeration DateMay 6, 2010

Last NPPES UpdateJuly 23, 2013

✔ NPI 1639497241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in AR · E-7963

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 CHILDRENS WAY, Little Rock, AR 72202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Montgomery 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.

Medicare Billing Reassignments

Medicare enrollment records show Jeffrey Montgomery reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Professional Services Organization LLC

0.1 mi

Pediatrics

1 CHILDRENS WAY
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
653 clinicians in this Medicare group

NPI 1629889464 (501) 364-2526

University Of Arkansas For Medical Sciences

0.1 mi

Psychologist

1 CHILDRENS WAY # 653
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
1,246 clinicians in this Medicare group

NPI 1114255353 (501) 364-1100

Arkansas Childrens Hospital

3.5 mi

Pediatrics

1 CHILDRENS WAY # 664
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
944 clinicians in this Medicare group

NPI 1598773079 (501) 364-2526

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LAUREN SEARCY DNP

Nurse Practitioner