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Matthew Montgomery, PA-C

Physician Assistant in Saint Augustine, FL · enumerated 2025 · practices at Southeast Orthopedic Specialists, LLC.

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

National Provider Identifier

1114727153

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Registry record

Entity type Individual (Type 1)
Name Matthew Montgomery
Credential PA-C
Sex Male
Practice address 45 Groover Loop Ste 201, Saint Augustine, FL, 32086
Phone (904) 634-0640
Enumeration date Mar 18, 2025
Last updated in NPPES Jul 28, 2025

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PENDING (FL) Primary

Other identifiers

Identifier Type State Issuer
127049200 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.

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Frequently asked questions

Where does Matthew Montgomery practice?
The practice location on file with NPPES is in Saint Augustine, FL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Matthew Montgomery?
The National Provider Identifier (NPI) for Matthew Montgomery is 1114727153, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-28.