Doctor profile · Federal record

Dr. Gwendolyn Montgomery, Nurse Practitioner

Acute Care Nurse Practitioner · Ellenwood, GA

  • NPI 1629635859
  • MIPS 84.5 / 100 · 2023
  • 7 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3962 Busby Mill CT
Ellenwood, GA 302942052
(404) 314-7295

Credentials & registration

NPPES · NUCC
NPI registered
May 2019 — 7 yrs on file
Profile last updated
November 27, 2023
Specialty taxonomy
363LA2100X — NUCC code
State license (1)
Georgia #RN176860

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1629635859. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
56
Distinct HCPCS
2
Medicare allowed
$3,000
HCPCS Description Services Patients Avg allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 35 29 $64
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 21 15 $36

In context: peer comparison

Among 1 peers in this city , average services per provider: 28. This provider delivers 2.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Gwendolyn Montgomery's medical specialty?
Dr. Gwendolyn Montgomery practices Acute Care Nurse Practitioner in Ellenwood, GA.
Where does Dr. Gwendolyn Montgomery practice?
Dr. Gwendolyn Montgomery practices at 3962 Busby Mill CT, Ellenwood, GA 302942052. Office phone: 4043147295.
What is Dr. Gwendolyn Montgomery's NPI?
Dr. Gwendolyn Montgomery's National Provider Identifier (NPI) is 1629635859, issued by NPPES.
What procedures does Dr. Gwendolyn Montgomery commonly perform?
Top Medicare-reported procedures in 2023: Residence visit for established patient with low level of medical decision making (HCPCS 99348); Residence visit for established patient with straightforward medical decision making (HCPCS 99347). Source: CMS Medicare Physician & Other Practitioners file.