Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. C. Ted Montgomery, M.D.

Specialist in Jacksonville, FL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093717159

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Registry record

Entity type Individual (Type 1)

Name Dr. C. Ted Montgomery

Credential M.D.

Sex Male

Practice address 3550 University Blvd S, Ste 301, Jacksonville, FL, 32216

Phone (904) 384-2240

Fax (904) 448-0030

Enumeration date Jun 2, 2005

Last updated in NPPES Nov 24, 2009

Taxonomy & licenses

174400000X Specialist Other Service Providers · License ME10755 (FL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
371200100	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does C. Montgomery practice?

The practice location on file with NPPES is in Jacksonville, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for C. Montgomery?

The National Provider Identifier (NPI) for C. Montgomery is 1093717159, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-24.