ERICA MICHELE MONTGOMERY MED
NPI 1679858583
Counselor - Mental Health in Tupelo, MS

Q: What is Erica Montgomery's NPI number?

The NPI number for Erica Montgomery is 1679858583. It was assigned to this individual provider in the NPPES registry on October 12, 2011.

Q: What is Erica Montgomery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Erica Montgomery enrolled in Medicare?

No. Erica Montgomery has opted out of Medicare through March 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Erica Montgomery was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 October 12, 2011Opted out of Medicare · through Mar 19, 2027

2434 S EASON BLVD, TUPELO, MS 38804(662) 844-1717(662) 680-6416 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Erica Michele Montgomery Med NPPES

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

ERICA MICHELE MONTGOMERY MED (NPI 1679858583) is an individual mental health provider in Tupelo, Mississippi and active in the NPI registry since October 2011. She has opted out of Medicare through March 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679858583

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameERICA MICHELE MONTGOMERYCredential: MED

Location Address2434 S EASON BLVDTupelo, MS 38804-6942

Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 844-1717 · Fax (662) 680-6416

Phone(662) 844-1717

Fax(662) 680-6416

Sole ProprietorNo

Enumeration DateOctober 12, 2011

✔ NPI 1679858583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2434 S EASON BLVD, Tupelo, MS 38804

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Erica Michele Montgomery Med has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 19, 2025 through March 19, 2027.

Opt-Out Effective DateMarch 19, 2025

Opt-Out In Effect ThroughMarch 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

TIFFANY BROWN

Counselor (Mental Health)