IndividualActive
C. Montgomery, M.D.
NPI 1093717159 · Specialist · Jacksonville, FL
C. Montgomery, M.D. is a Specialist provider in Jacksonville, FL (NPI 1093717159).
Provider details
- NPI number
- 1093717159
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME10755 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3550 University Blvd S
Ste 301
Jacksonville, FL 32216-4225
Phone: (904) 384-2240
Fax: (904) 448-0030
Street-level locationGet directions
Mailing address
915 W Monroe St
Jacksonville, FL 32204-1177
Registry dates
- Enumerated
- 2005-06-02
- Last updated
- 2009-11-24
Frequently asked questions
- What is C. Montgomery's NPI number?
- C. Montgomery's National Provider Identifier (NPI) is 1093717159, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is C. Montgomery's specialty?
- C. Montgomery is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is C. Montgomery located?
- C. Montgomery's practice location on file with NPPES is 3550 University Blvd S, Jacksonville, FL 32216-4225.
- What is C. Montgomery's phone number?
- The practice phone number listed in the NPPES registry for C. Montgomery is (904) 384-2240.
- Is C. Montgomery's NPI active?
- Yes — C. Montgomery's NPI (1093717159) is active in the NPPES registry as of the last update on 2009-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.