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

Matthew Montgomery, PA-C

Individual provider Physician Assistant · NPI 1114727153

Matthew Montgomery, PA-C is a Physician Assistant in Saint Augustine, Florida. Qualified in 2025, 1 year ago. Practices with Southeast Orthopedic Specialists LLC, a 145-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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

45 Groover Loop Ste 201
Saint Augustine, FL 32086-6586
Phone: (904) 634-0640
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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 PENDING (FL)

Record details

NPI number1114727153
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 18, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Southeast Orthopedic Specialists Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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