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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GARY L MONTGOMERY MD
NPI 1730196882
Pediatrics - Pediatric Pulmonology in Atlanta, GA

Active since August 02, 2006PECOS Enrolled
77.82/100
CMS Quality Rating
1100 LAKE HEARN DR, STE 450, ATLANTA, GA 30342(404) 252-7339(404) 257-0337 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Aug 22, 2024 (2 updates tracked since 2024).

About Gary L Montgomery Md NPPES

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

GARY L MONTGOMERY MD (NPI 1730196882) is an individual pediatric pulmonology provider in Atlanta, Georgia, licensed in Georgia (034095) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730196882
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameGARY L MONTGOMERYCredential: MD
Location Address1100 LAKE HEARN DR, STE 450Atlanta, GA 30342
Mailing Address1100 Lake Hearn Dr, Ste 450Atlanta, GA 30342 · (404) 252-7339 · Fax (404) 257-0337
Phone(404) 252-7339
Fax(404) 257-0337
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1730196882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in GA · 034095
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedPediatrics · Sleep MedicineTaxonomy 2080S0012X · License 21444 (ND)
1100 LAKE HEARN DR, Atlanta, GA 30342
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary L 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.

Medicare Billing Reassignments

3

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

Wellstar Medical Group, LLC
5.6 mi
Family Medicine
1010 JOHNSON FERRY RD
Marietta, GA 30068
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1053617621 (770) 973-7302
Au Medical Associates Inc
139 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273
Sanford Medical Center Fargo
1,094 mi
Rural Health
336 MAIN STREET
Forman, ND 58032
  • Reassigned Medicare billing, North Dakota and Georgia enrollments
  • Also billed through NPI 1184917924 (Georgia)
  • 1,464 clinicians in this Medicare group
NPI 1073520003 (701) 724-3221

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

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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 11

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

RANDALL W BROWN MD MPH
Pediatrics (Pediatric Pulmonology)
1100 LAKE HEARN DR, STE 450
ATLANTA, GA 30342
Fulton County (404) 252-7339
LEROY M GRAHAM MD
Pediatrics (Pediatric Pulmonology)
1100 LAKE HEARN DR, STE 450
ATLANTA, GA 30342
Fulton County (404) 252-7339
SAMIT ATUL PATRAWALA M.D.
Dermatology
1100 LAKE HEARN DR
SANDY SPRINGS, GA 30342
Fulton County (404) 365-0966
PETER H SCOTT MD
Pediatrics (Pediatric Pulmonology)
1100 LAKE HEARN DR, STE 450
ATLANTA, GA 30342
Fulton County (404) 252-7339
KAISER FOUNDATION HEALTH PLAN OF GEORGIA
Clinical Medical Laboratory
1100 LAKE HEARN DR, SUITE 500
SANDY SPRINGS, GA 30342
Fulton County (404) 845-4520
DR. GEETA DEVI GANDA D.O.
Psychiatry & Neurology (Psychiatry)
1100 LAKE HEARN DR
ATLANTA, GA 30342
Fulton County (404) 365-0966
ALEXANDRU M GHILEZAN DO
Psychiatry & Neurology (Psychiatry)
1100 LAKE HEARN DR
SANDY SPRINGS, GA 30342
Fulton County (404) 365-0966
JENNIE FRENKEL
Physician Assistant (Medical)
1100 LAKE HEARN DR
ATLANTA, GA 30342
Fulton County (404) 365-0966

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 Gary Montgomery's NPI number?

The NPI number for Gary Montgomery is 1730196882. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Gary Montgomery located?

Gary Montgomery practices at 1100 Lake Hearn Dr Ste 450, Atlanta, GA 30342. The listed phone number is (404) 252-7339.

What is Gary Montgomery's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Gary Montgomery enrolled in Medicare?

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

Which organizations bill Medicare for Gary Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Montgomery reassigns Medicare benefits to 3 organizations: Wellstar Medical Group, LLC (Marietta, GA), Au Medical Associates Inc (Augusta, GA) and Sanford Medical Center Fargo (Forman, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Montgomery accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Gary 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 Gary Montgomery was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.