Individual provider Active NPI

Myah Long, DC

  • Chiropractor
  • Dallas, GA
National Provider Identifier
1043100399
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR011364 Issued in GA
Practice address
49 Hosiery Mill Rd Ste 113
Dallas, GA 30157-1688
Phone
(785) 766-0729
NPI assigned
Jul 8, 2025
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR011364 GA Primary

Addresses

Primary practice location

49 Hosiery Mill Rd Ste 113
Dallas, GA 30157-1688

Mailing address

2365 Worthington Dr
Powder Springs, GA 30127-3396
Phone (785) 766-0729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304003497 GA Practitioner - Chiropractic 4486141801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2365 Worthington Dr
Powder Springs, GA 30127-3396

49 Hosiery Mill Rd
Suite 113
Dallas, GA 30157-1687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR011364GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Health Collective, LLC Chiropractor CurrentSince Nov 2, 2025 Accepting new patients

Locations

49 Hosiery Mill Rd
Ste 110
Dallas, GA 30157

49 Hosiery Mill Rd
Ste 113
Dallas, GA 30157
Phone (770) 341-2671

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1043100399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 WORTHINGTON DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301273396",
            "telephone_number": "785-766-0729",
            "fax_number": "785-766-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HOSIERY MILL RD STE 113",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571688",
            "telephone_number": "785-766-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MYAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR011364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.