Chauncy Montgomery
NPI 1790094241 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Vidalia, GA
Chauncy Montgomery is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Vidalia, GA (NPI 1790094241).
Provider details
- NPI number
- 1790094241
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Chauncy Montgomery, Owner/Director(912) 347-2399
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Other names (DBA / former)
- Doing business as
- The Secret Place
Registry dates
- Enumerated
- 2010-10-01
- Last updated
- 2010-10-01
Frequently asked questions
- What is Chauncy Montgomery's NPI number?
- Chauncy Montgomery's National Provider Identifier (NPI) is 1790094241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chauncy Montgomery?
- Chauncy Montgomery is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Chauncy Montgomery located?
- Chauncy Montgomery's practice location on file with NPPES is 1114 Jr Rollins Rd, Vidalia, GA 30474-9462.
- What is Chauncy Montgomery's phone number?
- The practice phone number listed in the NPPES registry for Chauncy Montgomery is (912) 537-4143.
- Who is the authorized official for Chauncy Montgomery?
- The authorized official listed on Chauncy Montgomery's NPPES record is Chauncy Montgomery, Owner/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chauncy Montgomery's NPI active?
- Yes — Chauncy Montgomery's NPI (1790094241) is active in the NPPES registry as of the last update on 2010-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.