Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Gwendolyn Elaine Montgomery, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1629635859

Gwendolyn Elaine Montgomery, NURSEPRACTITIONER is an Acute Care Nurse Practitioner in Ellenwood, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
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Practice location Address checks out

3962 Busby Mill Ct
Ellenwood, GA 30294-2052
Phone: (404) 314-7295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN176860 (GA)

Record details

NPI number1629635859
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 23, 2019
Last updated in NPPESNovember 27, 2023
Certification dateFebruary 29, 2020

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients45
Services billed 59 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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