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ELLEN PAIGE MONTGOMERY, LLC
NPI 1871828509
Counselor - Professional in Conyers, GA

Active since October 14, 2009
1807 OVER LAKE DR SE, SUITE C, CONYERS, GA 30013(678) 413-3833(770) 385-1832 Get Directions Write a Review

NPPES record last updated: October 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Paige Montgomery, Llc NPPES

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

ELLEN PAIGE MONTGOMERY, LLC (NPI 1871828509) is a healthcare organization registered as a professional in Conyers, Georgia and active in the NPI registry since October 2009. The organization lists Ellen Paige Montgomery, Owner, as its authorized official.

NPPES Registry Identity

NPI1871828509
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameELLEN PAIGE MONTGOMERY, LLC
Location Address1807 OVER LAKE DR SE, SUITE CConyers, GA 30013-1777
Mailing Address1807 Over Lake Dr Se, Suite CConyers, GA 30013-1777 · (678) 413-3833 · Fax (770) 385-1832
Phone(678) 413-3833
Fax(770) 385-1832
Organization SubpartNo
Authorized OfficialEllen Paige MontgomeryOwner · (678) 413-3833
Enumeration DateOctober 14, 2009
✔ NPI 1871828509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 4154
1807 OVER LAKE DR SE, Conyers, GA 30013
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Other Identifiers 1

Medicaid200566262AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. JEFFREY C. DODSON D.D.S.
Dentist (General Practice)
1807 OVER LAKE DR SE
CONYERS, GA 30013
Rockdale County (770) 922-3131
DR. LINA MY TRAN DMD
Dentist
1807 OVER LAKE DR SE
CONYERS, GA 30013
Rockdale County (770) 922-3131
DR. GAIL MAYSHARK PHD
Psychologist
1807 OVER LAKE DR SE, ST.C
CONYERS, GA 30013
Rockdale County (770) 922-6921
DR. A. FREDRICK HEDRICK JR. DMD
Dentist
1807 OVER LAKE DR SE
CONYERS, GA 30013
Rockdale County (770) 922-3131
ALIYAH HILL
Dentist (General Practice)
1807 OVER LAKE DR SE
CONYERS, GA 30013
Rockdale County (770) 922-3131

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 Ellen Paige Montgomery, LLC's NPI number?

The NPI number for Ellen Paige Montgomery, LLC is 1871828509. It was assigned to this organization in the NPPES registry on October 14, 2009.

Where is Ellen Paige Montgomery, LLC located?

Ellen Paige Montgomery, LLC is located at 1807 Over Lake Dr SE Suite C, Conyers, GA 30013. The listed phone number is (678) 413-3833.

What is Ellen Paige Montgomery, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ellen Paige Montgomery, LLC was last updated on October 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.