Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093717159 Individual Practitioner Male Practitioner

Dr. C. Ted Montgomery , MD

Specialist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. C. Montgomery, MD is a registered healthcare professional specializing in Specialist in Jacksonville, FL. Practice services are available at 3550 UNIVERSITY BLVD S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3550 University Blvd S
Ste 301

Jacksonville, FL 322164225

Telephone 9043842240
Fax 9044480030
Associated Practice Facility / Clinic
🏢 Drs Baker & Gilmour Md Pa Facility NPI 1023005501

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.7 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
107 Specialists

Practicing in Jacksonville, FL (3036 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME10755

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
371200100 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rodel Gloria , APRN

Nurse Practitioner

NPI 1023181245

Advanced Practice Registered Nurse

Nina Reigler , PA

Physician Assistant

NPI 1023541570

Physician Assistant

NPI 1043271653

Doctor of Podiatric Medicine

Crystal Gonzalez , APRN

Nurse Practitioner

NPI 1043752249

Advanced Practice Registered Nurse

Grant Freiberg , APRN

Nurse Practitioner

NPI 1083207351

Advanced Practice Registered Nurse

Amanda Mazzella

Physician Assistant

NPI 1093474835

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2009

Registered at 3550 UNIVERSITY BLVD S, STE 301, JACKSONVILLE, FL 322164225 (Tel: 9043842240)

📍
Updated Business Mailing Address November 24, 2009

Registered at 915 W MONROE ST, STE 200, JACKSONVILLE, FL 322041177 (Tel: 9043842240)

👤
Provider Name / Credentials Updated November 24, 2009

Recorded as C. MONTGOMERY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2009

Specialist (License #ME10755 in FL)

🟢
Initial NPI Registration & Enumeration June 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093717159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2005
Last Update: November 24, 2009
Sole Proprietor: No

Mailing Address

915 W Monroe St, Ste 200

Jacksonville, FL 322041177

Phone: 9043842240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.