Long Her
Individual provider Active NPI Family Medicine Physician · Crawfordville, FL
NPI 1124697255 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1124697255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME169510 (FL)
- Practice address
- 15 Council Moore Rd
Crawfordville, FL 32327-3117 - Phone
- (850) 926-7105
- NPI assigned
- Jun 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tallahassee Memorial Healthcare Inc
Practice addresses (Care Compare)
15 Council Moore Rd
Crawfordville, FL 32327-3117
Phone (850) 926-7105
Hospital & facility affiliations
- Centerwell Home Health
- Tallahassee Memorial Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240723002179 | FL | Practitioner - Family Practice | 7719423003 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Family Medicine | Current |
Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Family Medicine | Current |
Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients |
Locations
15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
Interoperability endpoints
- lher22176@tallahasseememorial.direct-ci.com
- longher@tmhpp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME169510 | FL | Yes |
Addresses
Primary practice location
15 Council Moore Rd
Crawfordville, FL 32327-3117
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-8695
Other providers in Crawfordville, FL
- Marko Hanna
- Suzanne Shellabarger Harrell
- Judy A Harris
- Terryann Onika Harry
- Angela Hayes
- Matt Higgins
- Adriene D Hill
- Holiday CVS LLC
- Charmion Lynn Holmes
- Janna L Hornbaker
All providers in Crawfordville, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.