● Active Type 1 · Individual

MR. Larry Allen Montgomery, APRN, AGNP-C

Nurse Practitioner·MacOn, GA· NPI 1760092340 · Enumerated 2020 · 5 years on NPI

Montgomery is 1 of 24 nurse practitioner providers in MacOn and 1 of 806 in Georgia.

NPI age

5 years

Enumerated 2020-08-07

Primary specialty

Nurse Practitioner

Plus 10 subspecialties

Licensed in

OK, VA, GA, AZ, FL, UT, KS, NM, DC, WA

10 states

Status

Active

No deactivations on record

Last NPPES update

2026-05-05

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age

5 years

↓ 6 yr below median (11 yr)

State licenses

10 states

Top 90% — 9% of peers are multi-state

Subspecialties

In the 31% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-08Enumerated in NPPES

2020 2026

Where they practice

Practice location

673 Pine St

MacOn, GA 312012855

📞 4787439123

Mailing address

866 Orange Ter

MacOn, GA 312012151

📞 4782461114fax 4782022488

Additional practice locations

2 secondary locations on file with NPPES.

Location 2

1445 Woodmont Ln Nw Ste 2866

Atlanta, GA 303182866

📞 4782461114fax 4782022488

Location 3

1611 S Utica Ave Ste 101

Tulsa, OK 741044909

📞 9183406477

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Nurse Practitioner

Nurse Practitioner Primary

Definition to come...

OK license #211116VA license #24191369GA license #GAA-NP001276AZ license #314882FL license #11024684UT license #14141481-4405KS license #53-83579-072NM license #80565DC license #NP500008018WA license #AP61605671 taxonomy 363LA2200X
Emergency Response System Companies

A supplier of a personal emergency response system (PERS), which is an electronic device that enables a patient to receive emergency assistance when needed. The PERS is one of two different methodologies of notification: (1) where the...

taxonomy 333300000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.