Individual provider · Type 1 NPI

Matthew Montgomery, PA-C

Physician Assistant · St. Augustine, FL

NPI number 1114727153 Active

Practice location

45 Groover Loop Ste 201
St. Augustine, FL 32086-6586

Call (904) 634-0640 Map

Mailing address

6800 Southpoint Pkwy Ste 300
Jacksonville, FL 32216-8203

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPENDING (FL)

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 1114727153

Matthew Montgomery, PA-C's National Provider Identifier is 1114727153, issued on Mar 18, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 28, 2025.