Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Larry Allen Montgomery, APRN, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1760092340

Mr. Larry Allen Montgomery, APRN, AGNP-C is a Nurse Practitioner in Macon, Georgia. Qualified in 2022, 4 years ago. Practices with Georgialina Physical Therapy Associates LLC, a 429-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, District of Columbia, Florida and Georgia and 6 more.

Years since qualifying
4
Licensed in
AZ, DC, FL, GA, KS, NM
In the registry since
2020
Specialties on file
11
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

673 Pine St
Macon, GA 31201-2855
Phone: (478) 743-9123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1445 Woodmont Ln Nw Ste 2866, Atlanta, GA 30318-2866 — (478) 246-1114
  • 1611 S Utica Ave Ste 101, Tulsa, OK 74104-4909 — (918) 340-6477

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 211116 (OK)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 24191369 (VA)
Emergency Response System Companies Taxonomy 333300000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence GAA-NP001276 (GA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 314882 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 11024684 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 14141481-4405 (UT)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 53-83579-072 (KS)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 80565 (NM)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence NP500008018 (DC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP61605671 (WA)

Record details

NPI number1760092340
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , AGNP-C
Sole proprietorYes
NPI enumeratedAugust 7, 2020
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Georgialina Physical Therapy Associates Llc — 429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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