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MCKENZIE BROOKE MONTANA DO
NPI 1922688480
Emergency Medicine in Greenville, SC

Active since April 09, 2021PECOS Enrolled
701 GROVE RD, GREENVILLE, SC 29605(864) 455-7895 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2025, Jul 28, 2021, Apr 9, 2021 (3 updates tracked since 2021).

About Mckenzie Brooke Montana Do NPPES

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

MCKENZIE BROOKE MONTANA DO (NPI 1922688480) is an individual emergency medicine provider in Greenville, South Carolina, licensed in North Carolina (2024-01604) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1922688480
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMCKENZIE BROOKE MONTANACredential: DO
Location Address701 GROVE RDGreenville, SC 29605-4210
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-2255
Phone(864) 455-7895
Sole ProprietorYes
Enumeration DateApril 9, 2021
Last NPPES UpdateJune 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1922688480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 2024-01604
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPediatricsTaxonomy 208000000X · License LL83548 (SC)
701 GROVE RD, Greenville, SC 29605
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Secondary Practice Location 1

Location 12005 Pisgah Church RdGreensboro, NC 27455-3309 · Phone (336) 716-9150 · Fax (336) 702-9166

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckenzie Brooke Montana Do 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

2

Medicare enrollment records show Mckenzie Montana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Forest Emergency Providers
110 mi
Multi-Specialty
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 580 clinicians in this Medicare group
NPI 1396216735 (336) 716-2255
Wake Forest University Health Sciences
142 mi
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1639454499 (336) 716-2255

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 29605 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

DANIEL RUIZ
Internal Medicine
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7882
ALAN ROBERT THOMPSON MD
Hospitalist
701 GROVE RD, 5TH FLOOR
GREENVILLE, SC 29605
Greenville County (864) 455-4411
GEORGE R SWEET CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD, ANESTHESIA DEPT
GREENVILLE, SC 29605
Greenville County (864) 455-7111
CRAIG DOUGLAS YOUNG PHD
Clinical Neuropsychologist
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7000
JENNIFER WEBB GEORGE CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7111
MEENU MARIE VARGHESE D.O.
Internal Medicine
701 GROVE RD, 5TH FLOOR SUPPORT TOWER
GREENVILLE, SC 29605
Greenville County (864) 455-7882
AMANDA TIPTON LARSON CRNA
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 522-2286
TYLER WITHROW
Nurse Anesthetist, Certified Registered
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7000

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 Mckenzie Montana's NPI number?

The NPI number for Mckenzie Montana is 1922688480. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Mckenzie Montana located?

Mckenzie Montana practices at 701 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-7895.

What is Mckenzie Montana's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mckenzie Montana enrolled in Medicare?

Yes. Mckenzie Montana is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mckenzie Montana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Montana reassigns Medicare benefits to 2 organizations: Wake Forest Emergency Providers (Statesville, NC) and Wake Forest University Health Sciences (Lexington, NC). 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 Mckenzie Montana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mckenzie Montana accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Mckenzie Montana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mckenzie Montana was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.