Individual provider Active NPI

Roy L Long, APRN

  • Nurse Practitioner
  • Franklin, KY
National Provider Identifier
1235109554
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3001989 Issued in KY
Practice address
1112 S Main St
Franklin, KY 42134-2322
Phone
(270) 598-9595
Fax
(270) 598-9590
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3001989 KY Primary

Addresses

Primary practice location

1112 S Main St
Franklin, KY 42134-2322

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 781-5111

Other identifiers 1

IdentifierTypeStateIssuer
78003092MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20041001000464 KY Practitioner - Nurse Practitioner 8527037993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLC 207 clinicians

Practice addresses (Care Compare)

1112 S Main St
Franklin, KY 42134-2322
Phone (270) 781-5111

Hospital & facility affiliations

  • The Medical Center at Franklin Hospital, Franklin, KY, CCN 181318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3001989KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Mar 9, 2020 Accepting new patients
Graves Gilbert Clinic PLLC Nurse Practitioner CurrentSince Mar 9, 2020 Accepting new patients
Adair County Hospital District Past Accepting new patients

Locations

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

810 Jamestown St
Columbia, KY 42728
Phone (270) 384-4764

1020 S Main St
Franklin, KY 42134
Phone (270) 586-8947

1112 S Main St
Franklin, KY 42134
Phone (270) 586-1969

208 S Main St
Franklin, KY 42134
Phone (270) 781-6477

Interoperability endpoints

  • Direct secure messaging: roylong@ggc.allscriptsdirect.net

Organizations & group practices 6

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.

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1235109554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-781-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S MAIN ST",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342322",
            "telephone_number": "270-598-9595",
            "fax_number": "270-598-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ROY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3001989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78003092",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, KY

Sources for this page

Verify at the official NPI Registry.