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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: November 01, 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
Phone(423) 282-0751
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
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN103I506090TN
Medicare PINVVA338BVA

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

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

Wellmont Medical Associates, Inc.
0.5 mi
Internal Medicine
161 HEART DR STE A
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1154789030 (423) 282-0751
Las Cruces Physician Practices, LLC
1,414 mi
Vascular Surgery
4351 E LOHMAN AVE, SUITE 403
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 193 clinicians in this Medicare group
NPI 1093947491 (575) 521-5277
Southwest Emergency Medical Associates Of Nm PC
1,415 mi
Emergency Medicine
2450 S. TELSHOR BLVD
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 183 clinicians in this Medicare group
NPI 1720505571 (954) 924-1600

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 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 4

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

JANICE B. SCHWEITZER M.D.
Family Medicine
378 MARKETPLACE DR, SUITE 5
JOHNSON CITY, TN 37604
Washington County (423) 282-0751
DR. RANDALL L BELT D.O.
Family Medicine
378 MARKETPLACE DR, SUITE 5
JOHNSON CITY, TN 37604
Washington County (423) 282-0751
BORZOU AZIMA MD
Emergency Medicine
378 MARKETPLACE DR
JOHNSON CITY, TN 37604
Washington County (423) 282-0751
RICHARD EUGENE NEUBERT MD
Emergency Medicine
378 MARKETPLACE DR, SUITE 5
JOHNSON CITY, TN 37604
Washington County (423) 282-0751

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 Justin Montgomery's NPI number?

The NPI number for Justin Montgomery is 1770920621. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Justin Montgomery located?

Justin Montgomery practices at 378 Marketplace Dr Suite 5, Johnson City, TN 37604. The listed phone number is (423) 282-0751.

What is Justin Montgomery's specialty?

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

Is Justin Montgomery enrolled in Medicare?

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

Which organizations bill Medicare for Justin Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Montgomery reassigns Medicare benefits to 3 organizations: Wellmont Medical Associates, Inc. (Johnson City, TN), Las Cruces Physician Practices, LLC (Las Cruces, NM) and Southwest Emergency Medical Associates Of Nm PC (Las Cruces, NM). 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 Justin 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 Justin Montgomery was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.