Active NPI
Ronald J Long, M.D.
- Obstetrics & Gynecology Physician
- Georgetown, SC
National Provider Identifier
1033194337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12662
- Practice address
- 1306 N Fraser St
Georgetown, SC 29440 - Phone
- (843) 546-3132
- Fax
- (843) 546-2268
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12662 | SC | Primary |
Addresses
Primary practice location
1306 N Fraser St
Georgetown, SC 29440
Mailing address
500 Plaza Circle
Suite J
Clinton, SC 29325
Phone (864) 833-3400
Other practice location 1
500 Plaza Circle
Suite J
Clinton, SC 29325
Phone (864) 833-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126624 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Healthcare Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Clinton, SC
- NPI 1457399396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1033194337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PLAZA CIRCLE",
"address_2": "SUITE J",
"city": "CLINTON",
"state": "SC",
"postal_code": "29325",
"telephone_number": "864-833-3400",
"fax_number": "864-833-9039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 N FRASER ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "29440",
"telephone_number": "843-546-3132",
"fax_number": "843-546-2268"
}
],
"practiceLocations": [
{
"address_1": "500 Plaza Circle",
"address_2": "Suite J",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "SC",
"postal_code": "29325",
"country_code": "US",
"telephone_number": "864-833-3400",
"fax_number": "864-833-9039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "RONALD",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "12662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126624",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.