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DR. JUANDRIA NICOLE MONTGOMERY FNP-C
NPI 1730208083
Nurse Practitioner - Family in Bartlett, TN

Active since March 28, 2007PECOS Enrolled
6025 STAGE RD STE 42-346, BARTLETT, TN 38134(901) 443-7353 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 28, 2022, Jan 8, 2018, Dec 7, 2017 (3 updates tracked since 2017).

About Dr. Juandria Nicole Montgomery Fnp-c NPPES

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

DR. JUANDRIA NICOLE MONTGOMERY FNP-C (NPI 1730208083) is an individual family provider in Bartlett, Tennessee, licensed in Georgia (274081) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730208083
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JUANDRIA NICOLE MONTGOMERYCredential: FNP-C
Location Address6025 STAGE RD STE 42-346Bartlett, TN 38134-8374
Mailing Address6447 Satjanon DrOoltewah, TN 37363-7241 · (423) 443-1145
Phone(901) 443-7353
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateDecember 28, 20223 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1730208083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · 274081✔ Licensed in TN · 17626
Also ListedHealth and Wellness CoachTaxonomy 171400000X · License A-3404511
6025 STAGE RD STE 42-346, Bartlett, TN 38134
Open in Google Maps ↗

Other Identifiers 2

Other6011441TN · Blue Cross And Blue Shield
MedicaidQ001302TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Juandria Nicole Montgomery Fnp-c 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

2

Medicare enrollment records show Juandria Montgomery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic Diagnostic Of Tennessee PC
183 mi
Family
3715 HILLSBORO RD
Nashville, TN 37215
  • Reassigned Medicare billing, Tennessee enrollment
  • 123 clinicians in this Medicare group
NPI 1457323164 (866) 389-2727
Erlanger Health
259 mi
Internal Medicine
979 E 3RD ST STE A440
Chattanooga, TN 37403
  • Reassigned Medicare billing, Tennessee enrollment
  • 679 clinicians in this Medicare group
NPI 1477256303 (423) 778-2867

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38134 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Juandria Montgomery's NPI number?

The NPI number for Juandria Montgomery is 1730208083. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Juandria Montgomery located?

Juandria Montgomery practices at 6025 Stage Rd Ste 42-346, Bartlett, TN 38134. The listed phone number is (901) 443-7353.

What is Juandria Montgomery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Juandria Montgomery enrolled in Medicare?

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

Which organizations bill Medicare for Juandria Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juandria Montgomery reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of Tennessee PC (Nashville, TN) and Erlanger Health (Chattanooga, TN). 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 Juandria Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Juandria Montgomery was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.