Individual provider Active NPI

Erin M. Long, M.D.

  • Dermatology Physician
  • Sarasota, FL
National Provider Identifier
1215965181
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME91760 Issued in FL
Practice address
5951 Cattleridge Ave
Sarasota, FL 34232-9801
Phone
(941) 379-1703
Fax
(941) 379-1704
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME91760 FL Primary

Addresses

Primary practice location

5951 Cattleridge Ave
Sarasota, FL 34232-9801

Mailing address

5951 Cattleridge Ave
Sarasota, FL 34232-9801
Phone (941) 379-1703

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Erin.Long@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050813000019 FL Practitioner - Dermatology 7618907387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

3333 Cattlemen Rd
Suite 106
Sarasota, FL 34232-6057
Phone (941) 379-1799

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision44
Removal of tissue1-10
Removal of skin lesions2085
Removal or shaving of skin growth20
Skin biopsy180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME91760FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intercoastal Medical Group Inc Dermatology CurrentSince Dec 1, 2007 Accepting new patients

Locations

3333 Cattlemen Rd
Ste 106
Sarasota, FL 34232
Phone (941) 379-1799

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

5951 Cattleridge Ave
Sarasota, FL 34232
Phone (941) 379-1703

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

5951 Cattleridge Ave
Ste 2
Sarasota, FL 34232

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70573
  • Direct secure messaging: erin.long@img.directbygreenway.com

Organizations & group practices 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1215965181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 CATTLERIDGE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342329801",
            "telephone_number": "941-379-1703",
            "fax_number": "941-379-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 CATTLERIDGE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342329801",
            "telephone_number": "941-379-1703",
            "fax_number": "941-379-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ERIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME91760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Erin.Long@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5951 Cattleridge Ave",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342329801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.