Mrs Callie Darlene Montgomery, FNP - Medicare Nurse Practitioner in Kingsport, TN

  1. Home
  2. Nurse Practitioner
  3. TN
  4. Kingsport
Mrs Callie Darlene Montgomery, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Physician Services Pc, Holston Medical Group Pc, Southeastern Physician Services Pc and her current practice location is 105 W Stone Dr Ste 3a, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 392-6200.

Mrs Callie Darlene Montgomery is licensed to practice in Tennessee (license number APN0000014405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700119294.

Contact Information

Mrs Callie Darlene Montgomery, FNP
105 W Stone Dr Ste 3a,
Kingsport, TN 37660-3365
(423) 392-6200
Not Available

Map and Direction




Provider's Profile

Full NameMrs Callie Darlene Montgomery
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location105 W Stone Dr Ste 3a, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Callie Darlene Montgomery graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1700119294
  • Provider Enumeration Date: 09/15/2009
  • Last Update Date: 06/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810037389
  • Enrollment ID: I20091214000395

Medical Identifiers

Medical identifiers for Mrs Callie Darlene Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700119294NPI-NPPES
1517292MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APN0000014405 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnson City Medical CenterJohnson city, TNHospital
Wellmont Bristol Regional Medical CenterBristol, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852499
Holston Medical Group Pc8224935754227
Southeastern Physician Services Pc0042307852499

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Callie Darlene Montgomery allows following entities to bill medicare on her behalf.
Entity NameHolston Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831110667
PECOS PAC ID: 8224935754
Enrollment ID: O20031216000416
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameAppalachian Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689985863
PECOS PAC ID: 6901099639
Enrollment ID: O20101026000515
Entity NameIpc Pac Healthcare Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541
Entity NameTri-cities Regional Emergency Physicians, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Callie Darlene Montgomery is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Callie Darlene Montgomery, FNP
Po Box 9,
Kingsport, TN 37662-0009

Ph: (423) 857-2066		Mrs Callie Darlene Montgomery, FNP
105 W Stone Dr Ste 3a,
Kingsport, TN 37660-3365

Ph: (423) 392-6200

Reviews and Comments


Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3136 Winesap Rd, Kingsport, TN 37663
Phone: 423-726-2077    
Lauren Ashley Ernst, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1041 E Sullivan St, Kingsport, TN 37660
Phone: 423-279-2777    
Kelly A Cox, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660
Phone: 423-230-5000    Fax: 423-230-5613
Sherry Lynn Goode, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-3628    Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663
Phone: 423-239-7300    
Mrs. Amanda Susan Burns, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660
Phone: --    
Mary Renee Mcnees, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660
Phone: 423-765-9655    Fax: 423-979-6333

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.