Individual provider Active NPI

Shannon Rose Long, D.O.

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1306259916
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36707 Issued in SC
Practice address
325 Folly Rd Ste 102a
Charleston, SC 29412-2507
Phone
(843) 762-1440
Fax
(843) 762-6979
NPI assigned
Jun 11, 2014
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36707 SC Primary

Addresses

Primary practice location

325 Folly Rd Ste 102a
Charleston, SC 29412-2507

Mailing address

PO Box 632516
Cincinnati, OH 45263-2516
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
367070MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon.long@rsfpp.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20161205000175 SC Practitioner - Family Practice 6608190954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

325 Folly Rd
Suite 101
Charleston, SC 29412-2507
Phone (843) 853-3474

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36707SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Oct 27, 2016 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Oct 27, 2016 Accepting new patients
Roper Saint Francis Physicians Network Family Medicine Past Accepting new patients

Locations

319 Folly Rd
Charleston, SC 29412
Phone (843) 203-2246

325 Folly Rd
Ste 101
Charleston, SC 29412
Phone (843) 501-9500

325 Folly Rd
Ste 102A
Charleston, SC 29412
Phone (843) 762-1440

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

180 Wingo Way
Ste 110
Mt Pleasant, SC 29464
Phone (843) 402-5283

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

1114 N Main St
Summerville, SC 29483
Phone (843) 212-8034

Interoperability endpoints

  • Direct secure messaging: slong1235957@direct.bsmhealth.org

Organizations & group practices 4

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 5

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1306259916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632516",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632516",
            "telephone_number": "888-472-0043",
            "fax_number": "513-653-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 FOLLY RD STE 102A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122507",
            "telephone_number": "843-762-1440",
            "fax_number": "843-762-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "SHANNON",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367070",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.long@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "319 Folly Rd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294122518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.