JOSEPH BROOKS MONTGOMERY (NPI# 1417155896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417155896 |
| Entity Type | Individual |
| Full Name | JOSEPH BROOKS MONTGOMERY |
| Credential | MD |
| Practice Address |
106 Clinton Pkwy Clinton MS 39056-4730 |
| Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
| Practice Telephone | 6019249005 |
| Practice Fax Number | 6019259463 |
| Mailing Telephone | 9012273255 |
| Mailing Fax Number | 9012278591 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19579 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014019 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376100990 | Joseph Alexander Montgomery | Physician Assistant | 357 Salem Ave Sw Apt 414, Roanoke, VA 24016-3649 | 2019-05-20 |
| 1093085771 | Joseph Tucker Montgomery | Emergency Medicine | 528 Dixon Rd, Knoxville, TN 37934-1307 | 2012-01-11 |
| 1760479836 | Joseph H Montgomery | Family Medicine | 190 University Ave, Parsons, TN 38363-2972 | 2005-10-04 |
| 1205230422 | Joseph K Montgomery | Pharmacist | 3000 Ericsson Dr, Warrendale, PA 15086-6501 | 2014-10-17 |
| 1104155126 | Joseph Montgomery | Counselor | 42669 Garfield Rd, Clinton Twp, MI 48038-5036 | 2009-12-22 |
| 1427295393 | Joseph M Montgomery | Specialist/Technologist | 800 4th St Ne, Auburn, WA 98002-5018 | 2009-01-14 |
| 1144217001 | Joseph Samuel Montgomery IIi | Obstetrics & Gynecology | 21212 Northwest Fwy, Suite 315, Cypress, TX 77429-5884 | 2005-10-05 |
| Street Address |
106 CLINTON PKWY |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669441218 | Wilford J Patterson | Family Medicine | 106 Clinton Pkwy, Clinton, MS 39056-4730 | 2006-03-16 |
| 1760013742 | Kynni Addisyn Jones | Nurse Practitioner | 106 Clinton Pkwy, Clinton, MS 39056-4730 | 2020-01-29 |
| 1538713839 | Morgan Ariel Doty | Nurse Practitioner | 106 Clinton Pkwy, Clinton, MS 39056-4730 | 2019-07-25 |
| 1578049276 | Melissa Barham Jackson | Nurse Practitioner | 106 Clinton Pkwy, Clinton, MS 39056-4730 | 2018-07-16 |
| 1184170854 | Alexis Grabow Strahan | Nurse Practitioner | 106 Clinton Pkwy, Clinton, MS 39056 | 2016-08-31 |
| 1871872820 | Jennifer Reed Tuccio | Nurse Practitioner | 106 Clinton Pkwy, Clinton, MS 39056 | 2011-08-09 |
| 1578795134 | Melissa E Wood | Nurse Practitioner | 106 Clinton Pkwy, Clinton, MS 39056-4730 | 2009-08-17 |
| 1992905384 | Christy Murray Nohra | Family Medicine | 106 Clinton Pkwy, Clinton, MS 39056-4730 | 2007-07-23 |
| 1134341019 | Kimberly Cornelius-peace | Family Medicine | 106 Clinton Pkwy, Clinton, MS 39056-4730 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217978 | Springridge Medical Clinic | Family Medicine | 507 Springridge Rd Ste A, Clinton, MS 39056-5628 | 2019-10-20 |
| 1578125837 | Dana Fuller | Family Medicine | 600 Plaza Cir, Clinton, SC 29325-7555 | 2019-07-07 |
| 1477057966 | Strong Health & Wellness Center, LLC | Family Medicine | 130 Fairmont St Ste B, Clinton, MS 39056-4714 | 2018-03-20 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1851762173 | Olive Tree Medical Associates Pllc | Family Medicine | 7505 Foote Rd, Clinton, NY 13323-3403 | 2015-10-13 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1437458601 | Sally A Goodwin | Family Medicine | 3677 Woodland Hall Ln, Clinton, WA 98236-8628 | 2011-03-27 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1720313075 | Eva Cesnek Novak | Family Medicine | 54 Old Route 22, Clinton, NJ 08809-4137 | 2009-10-05 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| Find all providers in CLINTON | ||||
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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.