Active NPI
Tiffany Pineda Long, M.D.
- Neurology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 27839
- Practice address
- 101 Memorial Hospital Dr
Suite 200
Mobile, AL 36608-1786 - Phone
- (251) 414-5900
- Fax
- (251) 459-8478
- NPI assigned
- May 17, 2007
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Neurology Physician | 2084N0400X | TD101093 | ME | |
| Neurology Physician | 2084N0400X | 27839 | AL | Primary |
Addresses
Primary practice location
101 Memorial Hospital Dr
Suite 200
Mobile, AL 36608-1786
Mailing address
101 Memorial Hospital Dr
Suite200
Mobile, AL 36608-1786
Phone (251) 414-5900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD27839 | Other | AL | ALABAMA CONTROLLED SUBSTANCE |
| MD27839 | Other | AL | MEDICAL LICENSE |
| 29838 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Alabama School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Memorial Hospital Dr
Suite 200
Mobile, AL 36608-1787
Phone (251) 414-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27839 | AL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Medical Group, PC | Current | Accepting new patients | |
| Independence Neurosurgery Services LLC | Past | Accepting new patients | |
| Foley Clinic Corp | Past | Accepting new patients | |
| Kansas City Neurology Associates LLC | Neurology | Past | Accepting new patients |
Locations
101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079
Interoperability endpoints
- https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4
- tiffanylong@amgmd.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1841712684
-
dba Gulf Coast Occupational, Sports & Pain Management
- Durable Medical Equipment & Medical Supplies
- Foley, AL
- NPI 1427296029
-
dba Midwest Brain and Spine Associates
- Neurological Surgery Physician
- Independence, MO
- NPI 1316993694
-
- Neurology Physician
- Lee's Summit, MO
- NPI 1932273737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1093922882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MEMORIAL HOSPITAL DR",
"address_2": "SUITE200",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081786",
"telephone_number": "251-414-5900",
"fax_number": "251-281-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MEMORIAL HOSPITAL DR",
"address_2": "SUITE 200",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081786",
"telephone_number": "251-414-5900",
"fax_number": "251-459-8478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "TIFFANY",
"middle_name": "PINEDA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2023-03-07",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ME",
"license": "TD101093",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "27839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA CONTROLLED SUBSTANCE",
"identifier": "MD27839",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD27839",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29838",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.