NPIMap

Individual provider Active NPI

Thomas D Long Jr., MD

  • Internal Medicine Physician
  • Roxboro, NC
National Provider Identifier
1316901093
Registry record updated Feb 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9700646 Issued in NC
Practice address
783 Doctors CT
Roxboro, NC 27573
Phone
(336) 598-6000
Fax
(336) 598-6025
NPI assigned
Apr 12, 2006
Last updated
Feb 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9700646 NC Primary

Addresses

Primary practice location

783 Doctors CT
Roxboro, NC 27573

Mailing address

PO Box 1058
Roxboro, NC 27573
Phone (336) 598-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000284 NC Practitioner - Internal Medicine 3870639933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Brody School of Medicine at East Carolina University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accelerated Care IncGroup PAC ID 8921041138, 47 clinicians
Roxboro Medical Associates, P.a.Group PAC ID 0446396592, 4 clinicians

Practice addresses (Care Compare)

337 S Madison Blvd
Roxboro, NC 27573-5464

783 Doctors CT
Roxboro, NC 27573-4571
Phone 3365993212134

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 2

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 10

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297468800000",
    "number": "1316901093",
    "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": "27573",
            "telephone_number": "336-598-6000",
            "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": "27573",
            "telephone_number": "336-598-6000",
            "fax_number": "336-598-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9700646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.