Active NPI
Stephen N Long, MD
- Internal Medicine Physician
- Roxboro, NC
National Provider Identifier
1174586846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 30403
- Practice address
- 783 Doctors CT
Roxboro, NC 27573-4575 - Phone
- (336) 599-3212
- Fax
- (336) 598-6025
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 30403 | NC | Primary |
Addresses
Primary practice location
783 Doctors CT
Roxboro, NC 27573-4575
Mailing address
PO Box 1058
Roxboro, NC 27573-1058
Phone (336) 598-6036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8952674 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100329000345 | NC | Practitioner - Internal Medicine | 1557467354 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wake Forest University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
783 Doctors Court
Roxboro, NC 27573
PO Box
Suite 1058
Roxboro, NC 27573-1058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30403 | NC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297468800000",
"number": "1174586846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1058",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275731058",
"telephone_number": "336-598-6036",
"fax_number": "336-598-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "783 DOCTORS CT",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734575",
"telephone_number": "336-599-3212",
"fax_number": "336-598-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "STEPHEN",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2011-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "30403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8952674",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2011; 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.