Individual provider · Type 1 NPI

Peyton Taylor Montgomery, PA-C

Physician Assistant · St. Louis, MO

NPI number 1053200378 Active

Practice location

1201 S Grand Blvd
St. Louis, MO 63104-1016

Mailing address

1716 9th Ave S
Birmingham, AL 35233-1124

Other practice locations

  • 1716 9th Ave S, Birmingham, AL 35233-1124 · (205) 934-5149

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2026009855 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053200378

Peyton Taylor Montgomery, PA-C's National Provider Identifier is 1053200378, issued on Jul 1, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 19, 2026.