Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremiah R Montgomery, PA-C

Individual provider Medical Physician Assistant · NPI 1952390353

Jeremiah R Montgomery, PA-C is a Physician Assistant in Goldsboro, North Carolina. Qualified in 1998, 28 years ago. Practices with Immediate Care of Goldsboro PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
28
Licensed in
NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2604 Medical Ofc PL
Goldsboro, NC 27534-9417
Phone: (919) 580-0004
Fax: (919) 580-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103911 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 103911 (NC)

Record details

NPI number1952390353
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Immediate Care Of Goldsboro Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Goldsboro