JESSICA L MONTGOMERY (NPI# 1063863272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063863272 |
| Entity Type | Individual |
| Full Name | JESSICA L MONTGOMERY |
| Credential | DMD |
| Practice Address |
118 E Girard Ave Cedartown GA 30125-2712 |
| Mailing Address |
204 N Westover Blvd Albany GA 31707-2983 |
| Practice Telephone | 6782465174 |
| Practice Fax Number | 6789013336 |
| Mailing Telephone | 2298886559 |
| Mailing Fax Number | 2294364107 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2018-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DNO15220 | GA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN015220 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801000302 | Jessica Montgomery | Physical Therapist | 365 E Bird Village Rd, Jackson, NJ 08527-4642 | 2007-05-10 |
| 1871112128 | Jessica Montgomery | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2020-04-15 |
| 1386278737 | Jessica Nicole Montgomery | Behavior Technician | 600 Arthur St, Knoxville, TN 37921-6405 | 2020-02-25 |
| 1669027405 | Jessica Luanne Montgomery | Physical Therapy Assistant | 831 Tehuacana Hwy, Mexia, TX 76667 | 2019-08-08 |
| 1053963041 | Jessica Meghan Montgomery | Physical Therapist | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2019-07-10 |
| 1124686639 | Jessica Montgomery | Occupational Therapist | 4305 S Poplar St, Casper, WY 82601-6106 | 2019-05-30 |
| 1619361490 | Jessica Montgomery | Physical Therapist | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2015-03-19 |
| 1710390026 | Jessica Montgomery | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2014-06-04 |
| 1538500541 | Jessica R Montgomery | Speech-Language Pathologist | 161 Hatcher Ln, Clarksville, TN 37043-5987 | 2013-07-08 |
| 1609132182 | Jessica Maggie Montgomery | Health Educator | 2844 Coloma St, Placerville, CA 95667-4406 | 2012-04-09 |
| Street Address |
118 E GIRARD AVE |
| City | CEDARTOWN |
| State | GA |
| Zip Code | 30125-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962491381 | Redmond Physician Practice Company | Internal Medicine | 118 E Girard Ave, Suite 104, Cedartown, GA 30125-2778 | 2005-10-18 |
| 1790240208 | Adina Lupas | Dentist | 118 E Girard Ave, Cedartown, GA 30125-2712 | 2019-02-08 |
| 1508331505 | Johnna S Abbasi | Nurse Practitioner | 118 E Girard Ave, Cedartown, GA 30125-2712 | 2018-10-05 |
| 1386120889 | Stacy M Hendrix | Nurse Practitioner | 118 E Girard Ave, Cedartown, GA 30125-2712 | 2018-07-17 |
| 1952723298 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 118 E Girard Ave, Cedartown, GA 30125-2778 | 2014-01-06 |
| 1639407893 | Karen M Hellriegel | Nurse Practitioner | 118 E Girard Ave, Cedartown, GA 30125-2778 | 2009-11-30 |
| 1487633913 | Carla Sue Mcfarland | Nurse Practitioner | 118 E Girard Ave, Cedartown, GA 30125-2778 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244607 | Ryan Ray Beck | Psychologist | 243 E. Girard Avenue, Cedartown, GA 30125 | 2008-12-30 |
| 1619156981 | Pamela Diane Hearn | Family Medicine | 2370 Rockmart Hwy Ste 100, Cedartown, GA 30125 | 2007-11-02 |
| 1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
| 1255444519 | Cedartown Radiology Group | Radiology | 424 North Main St, Cedartown, GA 30125 | 2006-08-17 |
| 1255822771 | Hannah Bell Helton | Nurse Practitioner | 2360 Rockmart Hwy, Cedartown, GA 30125 | 2018-05-21 |
| 1417168808 | Terri Lynn Willis | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125 | 2007-05-25 |
| 1427193812 | Benjamin Stratman Anderson Jr. | Family Medicine | 812 S Main St, Cedartown, GA 30125-0508 | 2007-02-21 |
| 1972760197 | Jerry Octave Weaver | Community Health Worker | 215 Fair Oaks Rd, Cedartown, GA 30125-2011 | 2008-05-16 |
| 1346302387 | Mary Scott Worthington | Case Manager/Care Coordinator | 340 Lakeview Dr, Cedartown, GA 30125-2019 | 2006-12-15 |
| 1639606049 | Kayla Benton | Family Medicine | 1025 N Main St, Cedartown, GA 30125-2036 | 2017-05-16 |
| Find all providers in zip 30125 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609029701 | Gerald D Palatini, Jr., Dds | Dentist | 113 Plantation Ave Ste A, Cedartown, GA 30125-2371 | 2008-11-03 |
| 1962571786 | David Gandy | Dentist | 109 East Ave, Cedartown, GA 30125 | 2006-11-07 |
| 1174612063 | Gerald David Palatini Jr. | Dentist | 113 Plantation Ave, Suite A, Cedartown, GA 30125-2371 | 2006-10-11 |
| 1982153938 | Cedartown Dentistry P.C. | Dentist | 102 East Ave, Cedartown, GA 30125-2922 | 2016-09-30 |
| 1447683644 | Nhi Joy Ho | Dentist | 109 East Ave, Cedartown, GA 30125-2921 | 2013-08-12 |
| 1740537133 | Hope H Still | Dentist | 109 East Ave, Cedartown, GA 30125-2921 | 2012-08-06 |
| 1326258351 | Coosa Dental Associates, LLC | Dentist | 109 East Ave, Cedartown, GA 30125-2921 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659028 | My Emergency Dental Ga, LLC | Dentist | 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 | 2020-11-02 |
| 1417556630 | Feyishayo Dahunsi | Dentist | 50 Main Street Market Pl Se Ste 500, Cartersville, GA 30121-3312 | 2020-10-19 |
| 1568079143 | Bimala Gharti | Dentist | 7310 Village Creek Trce, Atlanta, GA 30328-6763 | 2020-09-28 |
| 1760098214 | Georgia Dental Professionals, PC | Dentist | 3000 Chapel Hill Rd Ste 104, Douglasville, GA 30135-1841 | 2020-09-21 |
| 1063028769 | Georgia Dental Professionals, PC | Dentist | 3364 Hamilton Mill Rd, Buford, GA 30519-4005 | 2020-09-17 |
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1699385062 | Hetal Trivedi | Dentist | 930 Spring St Nw Unit 915-a, Atlanta, GA 30309-3816 | 2020-07-31 |
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1770101131 | Fatima Hassan | Dentist | 722 Bonnie Oaks Ln, Evans, GA 30809-6114 | 2020-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.