Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emmett Fulcher Montgomery, MD

Individual provider Family Medicine Physician · NPI 1356337646

Emmett Fulcher Montgomery, MD is a Family Practice in Davidson, North Carolina. Qualified in 1989, 37 years ago. Practices with Avance Care PA, a 244-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
37
Licensed in
NC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

104 Knox Ct Ste 100
Davidson, NC 28036-0590
Phone: (704) 892-5454
Fax: (704) 892-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 435 E Statesville Ave, Mooresville, NC 28115-2598 — (704) 663-5056

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35242 (NC)

Record details

NPI number1356337646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2005
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Avance Care Pa — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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