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

Mr. Jeffrey James Montgomery, PA-C

Individual provider Physician Assistant · NPI 1447450556

Mr. Jeffrey James Montgomery, PA-C is a Physician Assistant in Provo, Utah. Qualified in 2006, 20 years ago. Practices with Revere Health PC, a 410-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
20
Licensed in
CA, UT
In the registry since
2007
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

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-3367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 700 W 800 N Ste 100, Orem, UT 84057-6301 — (801) 373-7350
  • 1055 N 500 W, Provo, UT 84604-3305 — (801) 373-7350
  • 555 W State Road 164, Salem, UT 84653-5732 — (801) 373-7350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8401684-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA19180 (CA)

Record details

NPI number1447450556
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2007
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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