MR. CARL WESLEY MONTGOMERY II PA-C
NPI 1790491132
Physician Assistant in Chattanooga, TN

Q: What is Carl Montgomery's NPI number?

The NPI number for Carl Montgomery is 1790491132. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Q: What is Carl Montgomery's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Montgomery was last updated on January 30, 2023. 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.

Active since January 30, 2023PECOS EnrolledAccepts Medicare Assignment

979 E 3RD ST STE C-520, CHATTANOOGA, TN 37403(423) 778-8409 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Carl Wesley Montgomery Ii Pa-c NPPES

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

MR. CARL WESLEY MONTGOMERY II PA-C (NPI 1790491132) is an individual physician assistant in Chattanooga, Tennessee and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790491132

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. CARL WESLEY MONTGOMERY IICredential: PA-C

Location Address979 E 3RD ST STE C-520Chattanooga, TN 37403-2136

Mailing Address979 E 3rd St Ste C-520Chattanooga, TN 37403-2136

Phone(423) 778-8409

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 30, 2023

NPPES CertifiedJanuary 29, 2023

✔ NPI 1790491132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

979 E 3RD ST STE C-520, Chattanooga, TN 37403

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Carl Wesley Montgomery Ii Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274908983

PECOS Enrollment IDI20230412000165

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440104

Location975 E 3rd StChattanooga, TN 37403 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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 12

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

DR. JEFFREY AARON POYNTER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)