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

Malatrice Montgomery, PA-C

Individual provider Physician Assistant · NPI 1972823425

Malatrice Montgomery, PA-C is a Physician Assistant in Marietta, Georgia. Qualified in 2010, 16 years ago. Practices with Quantum Radiology PC, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
16
Licensed in
GA
In the registry since
2010
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

790 Church St NE Ste 400
Marietta, GA 30060-8957
Phone: (770) 405-2976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1984 Peachtree Rd Nw, Atlanta, GA 30309-5219 — (404) 352-1409

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005866 (GA)

Record details

NPI number1972823425
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 7, 2010
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Quantum Radiology Pc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Marietta