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

Individual provider Physician Assistant · NPI 1053200378

Peyton Taylor Montgomery, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2025, 1 year ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
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

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 617-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1716 9th Ave S, Birmingham, AL 35233-1124 — (205) 934-5149

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2026009855 (MO)

Record details

NPI number1053200378
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 1, 2025
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

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 Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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