Individual provider · Type 1 NPI

Kevin Montgomery, PA-C

Medical Physician Assistant · Atlanta, GA

NPI number 1073023636 Active

Practice location

2174 N Druid Hills Rd NE
Atlanta, GA 30329-3102

Other practice locations

  • 605 Big Shanty Rd NW Ste 300, Kennesaw, GA 30144-3646 · (404) 785-5437
  • 859 Mount Vernon Hwy NE Ste 300, Atlanta, GA 30328-4255 · (404) 785-5437
  • 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 · (404) 785-5437
  • 2220 N Druid Hills Rd NE, Atlanta, GA 30329-3117 · (404) 785-5437

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Medical Physician Assistant Primary 363AM0700X12883 (GA)
Mental Health Counselor 101YM0800X005095 (GA)
Mental Health Counselor 101YM0800XLPC010470 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1073023636

Kevin Montgomery, PA-C's National Provider Identifier is 1073023636, issued on Oct 9, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on Nov 3, 2025.