Individual provider Active NPI

Paige Long

  • Physician Assistant
  • Covington, LA
National Provider Identifier
1003467812
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
101 Judge Tanner Blvd Ste 300
Covington, LA 70433-7506
Phone
(985) 888-8750
Fax
(985) 888-8760
NPI assigned
Sep 23, 2019
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

101 Judge Tanner Blvd Ste 300
Covington, LA 70433-7506

Mailing address

101 Judge Tanner Blvd Ste 300
Covington, LA 70433-7506
Phone (985) 888-8750

Other identifiers 1

IdentifierTypeStateIssuer
2583212MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220000642 LA Practitioner - Physician Assistant 1951735117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-1683

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Mar 1, 2023 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Feb 23, 2025 Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 300
Covington, LA 70433
Phone (985) 888-8750

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

15770 Paul Vega Md Dr
Ste 108A
Hammond, LA 70403
Phone (985) 230-1870

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1003467812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JUDGE TANNER BLVD STE 300",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337506",
            "telephone_number": "985-888-8750",
            "fax_number": "985-888-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JUDGE TANNER BLVD STE 300",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337506",
            "telephone_number": "985-888-8750",
            "fax_number": "985-888-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2583212",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.