SearchGeorgia363LA2200X

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