Search › Georgia › 363LA2200X
Larry Montgomery, APRN, AGNP-C
NPI 1760092340 · on the registry since 2020 · sole proprietor
Practice
- Address
- 673 Pine St
Macon, GA 31201 - Phone
- (478) 743-9123
- Clinicians at this address
- 3
Additional practice sites
- 1611 S Utica Ave Ste 101, Tulsa, OK
- 1445 Woodmont Ln Nw Ste 2866, Atlanta, GA
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LA2200X
333300000X
363LA2200X
363LA2200X
363LA2200X
363LA2200X
363LA2200X
363LA2200X
363LA2200X
363LA2200X - Licence states on file
- VA, GA, AZ, FL, UT, KS, NM, DC, OK, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia