Individual provider Active NPI

Douglas L Long, DC DACNB

  • Neurology Chiropractor
  • Nashville, TN
National Provider Identifier
1164499547
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC0000002223 Issued in TN
Practice address
4515 Harding Pike
Suite 110
Nashville, TN 37205-2118
Phone
(615) 269-5558
Fax
(615) 269-5973
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X DC0000002223 TN Primary

Addresses

Primary practice location

4515 Harding Pike
Suite 110
Nashville, TN 37205-2118

Mailing address

4515 Harding Pike
Suite 110
Nashville, TN 37205-2118
Phone (615) 269-5558

Other identifiers 1

IdentifierTypeStateIssuer
1670129OtherTNMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090331000617 TN Practitioner - Chiropractic 8022007913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Tennessee Chiropractic and Functional Neurology CenterGroup PAC ID 8022310341, 3 clinicians

Practice addresses (Care Compare)

28 White Bridge Rd
Suite 316
Nashville, TN 37205-1467
Phone (615) 352-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0000002223TNMDNeurology Chiropractor
2223TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Chiropractic and Functional Neurology Center CurrentSince Aug 26, 2017 Accepting new patients
Evansville Rehabilitation, P.C. Neurology PastSince May 6, 2004 Accepting new patients

Locations

28 White Bridge Pike
Ste 316
Nashville, TN 37205
Phone (615) 352-4455

99 White Bridge Pike
Ste 201
Nashville, TN 37205
Phone (615) 352-4455

99 White Bridge Pike
Nashville, TN 37205
Phone (270) 776-4810

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1164499547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 HARDING PIKE",
            "address_2": "SUITE 110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052118",
            "telephone_number": "615-269-5558",
            "fax_number": "615-269-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 HARDING PIKE",
            "address_2": "SUITE 110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052118",
            "telephone_number": "615-269-5558",
            "fax_number": "615-269-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "credential": "DC  DACNB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TN",
            "license": "DC0000002223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1670129",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.