Organization Active NPI

Long Primary Care, PLLC

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1316027469
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LONG PRIMARY CARE, PLLC
Practice address
6263 Poplar Ave
Suite 1052
Memphis, TN 38119-4701
Phone
(901) 761-6157
Fax
(901) 761-4145
NPI assigned
Oct 16, 2006
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Celest S Long, M.D.
Title
Owner
Phone
(901) 761-6157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6263 Poplar Ave
Suite 1052
Memphis, TN 38119-4701

Mailing address

PO Box 1000
Dept 183
Memphis, TN 38148-0183
Phone (901) 761-6157

National Provider Directory

National Provider Directory

Locations

6005 Park Ave
Ste 405
Memphis, TN 38119
Phone (901) 683-4505

6263 Poplar Ave
Memphis, TN 38119
Phone (865) 635-9801

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1316027469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 183",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480183",
            "telephone_number": "901-761-6157",
            "fax_number": "901-761-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 POPLAR AVE",
            "address_2": "SUITE 1052",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194701",
            "telephone_number": "901-761-6157",
            "fax_number": "901-761-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CELEST",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-761-6157",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.