JUSTIN A MONTGOMERY NP
NPI 1770920621
Nurse Practitioner - Family in Johnson City, TN

Active since June 03, 2013PECOS Enrolled
378 MARKETPLACE DR, SUITE 5, JOHNSON CITY, TN 37604(423) 282-0751(423) 282-1577 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Justin A Montgomery Np NPPES

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

JUSTIN A MONTGOMERY NP (NPI 1770920621) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (17660) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770920621
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN A MONTGOMERYCredential: NP
Location Address378 MARKETPLACE DR, SUITE 5Johnson City, TN 37604-2361
Mailing Address105 W Stone Dr, Suite 6aKingsport, TN 37660-3365 · (423) 408-7220 · Fax (423) 408-7405
Fax(423) 282-1577
Sole ProprietorNo
Enumeration DateJune 3, 2013
Last NPPES UpdateJune 25, 2015
NPI 1770920621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TN · 17660 Licensed in VA · 0024170905
378 MARKETPLACE DR, Johnson City, TN 37604

Other Identifiers 2

Medicare PIN103I506090TN
Medicare PINVVA338BVA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justin A Montgomery Np 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 37604 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.

Other Providers at the Same Location NPPES 5

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

Emergency Medicine
378 MARKETPLACE DR, SUITE 5
JOHNSON CITY, TN 37604
Family Medicine
378 MARKETPLACE DR, SUITE 5
JOHNSON CITY, TN 37604
Emergency Medicine
378 MARKETPLACE DR, SUITE 5
JOHNSON CITY, TN 37604
Family Medicine
378 MARKETPLACE DR, SUITE 5
JOHNSON CITY, TN 37604
Emergency Medicine
378 MARKETPLACE DR
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770920621, enumerated as an "individual" on June 03, 2013.

The provider is located at 378 MARKETPLACE DR SUITE 5 JOHNSON CITY, TN 37604 and the phone number is (423) 282-0751.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.