Charles Long, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME26729 Issued in FL

Practice address

1205 Marion Ave
Tallahassee, FL 32303-6513

Phone

(850) 681-3887

Fax

(850) 681-0569

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tallahassee Primary Care Associates, PA

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972661262

  Pediatrics

  NPD (past)
• Tmgim PLLC

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1588492284

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1063442028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12427",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323172427",
            "telephone_number": "850-297-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MARION AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036513",
            "telephone_number": "850-681-3887",
            "fax_number": "850-681-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME26729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353116000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Howe Loevinger, M.D.
• Susan L Loftis
• Lola Brognano, LCSW, LLC
• Vito Aniello Lombardi, RN
• Brion Timothy Long, D.M.D.
• David James Long, L.M.T.
• Kenneth Lamar Long, PH.D.
• Meris Shuler Longfellow, MSCCC-SLP
• Melanie Lonkani, FNP-C
• Livia Alves Lopes, MD, MBA

• Pediatrics Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.