MEDICARE: JAMES HAMILTON MONTGOMERY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	2024-02268	NC
2	2084P0800X	Psychiatry Physician	OS22010	FL

General Provider Information

NPI Number	:	1447889597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES HAMILTON MONTGOMERY DO

Provider Business Mailing Address
First Line	:	5427 HWY 49 SOUTH
Second Line	:	SUITE 105
City	:	HARRISBURG
State	:	NC
Zip	:	28075
Country	:	US
Telephone Number	:	704-454-7268
Fax Number	:

Provider Business Practice Location Address
First Line	:	5427 HWY 49 SOUTH
Second Line	:
City	:	HARRISBURG
State	:	NC
Zip	:	28075
Country	:	US
Telephone Number	:	704-454-7268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	03/04/2026

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