EDWIN CLARK MONTAGUE D.O.
NPI 1801112859
Pediatrics - Neonatal-Perinatal Medicine in Rome, GA

Q: What is Edwin Montague's NPI number?

The NPI number for Edwin Montague is 1801112859. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Q: What is Edwin Montague's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Edwin Montague was last updated on April 26, 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 April 15, 2010PECOS Enrolled

304 TURNER MCCALL BLVD SW, ROME, GA 30165(706) 509-5000(404) 778-1401 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2022, Aug 11, 2016 (2 updates tracked since 2016).

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About Edwin Clark Montague D.o. NPPES

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

EDWIN CLARK MONTAGUE D.O. (NPI 1801112859) is an individual neonatal-perinatal medicine provider in Rome, Georgia, licensed in Georgia (069481) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801112859

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameEDWIN CLARK MONTAGUECredential: D.O.

Location Address304 TURNER MCCALL BLVD SWRome, GA 30165-5621

Mailing Address420 E 2nd Ave Ste 103Rome, GA 30161-3210 · (706) 509-3000 · Fax (706) 509-6516

Phone(706) 509-5000

Fax(404) 778-1401

Sole ProprietorNo

Enumeration DateApril 15, 2010

Last NPPES UpdateApril 26, 20232 updates tracked since enumeration

NPPES CertifiedApril 26, 2023

✔ NPI 1801112859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in GA · 069481

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

304 TURNER MCCALL BLVD SW, Rome, GA 30165

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwin Clark Montague D.o. 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.

Other Providers at the Same Location NPPES 20

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

CHARLES BROWN NP

Nurse Practitioner (Neonatal)