Individual provider Active NPI

Amy Maria Long, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1164839494
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18809 Issued in TN
Practice address
1755 Gunbarrel Rd
Suite 209
Chattanooga, TN 37421-7137
Phone
(423) 778-8478
Fax
(423) 778-8479
NPI assigned
Jul 18, 2014
Last updated
Jul 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18809 TN Primary

Addresses

Primary practice location

1755 Gunbarrel Rd
Suite 209
Chattanooga, TN 37421-7137

Mailing address

1755 Gunbarrel Rd
Suite 209
Chattanooga, TN 37421-7137
Phone (423) 778-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006001301 TN Practitioner - Nurse Practitioner 2567682081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

1755 Gunbarrel Rd
Suite 209
Chattanooga, TN 37421-3185
Phone (423) 778-8478

975 E 3Rd St
Chattanooga, TN 37403-2147

979 E 3Rd St
Chattanooga, TN 37403-2136

979 E 3Rd St G
Chattanooga, TN 37403-2136
Phone (423) 778-7485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jul 15, 2014 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Jul 15, 2014 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health Past Accepting new patients

Locations

1755 Gunbarrel Rd
Ste 209
Chattanooga, TN 37421
Phone (423) 305-7964

2158 Northgate Park Ln
Ste 104
Chattanooga, TN 37415
Phone (423) 531-3398

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1164839494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD",
            "address_2": "SUITE 209",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217137",
            "telephone_number": "423-778-8478",
            "fax_number": "423-778-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 GUNBARREL RD",
            "address_2": "SUITE 209",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217137",
            "telephone_number": "423-778-8478",
            "fax_number": "423-778-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "AMY",
        "middle_name": "MARIA",
        "credential": "MSN APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.