Individual provider Active NPI

Constance Sabrina Long, P.A.

  • Physician Assistant
  • Pulaski, TN
National Provider Identifier
1376817536
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2040 Issued in TN
Practice address
912 W College St
Pulaski, TN 38478-3630
Phone
(931) 424-9797
Fax
(931) 424-9788
NPI assigned
Mar 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2040 TN Primary

Addresses

Primary practice location

912 W College St
Pulaski, TN 38478-3630

Mailing address

326 N Locust Ave
Lawrenceburg, TN 38464-3516
Phone (931) 762-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120427000015 TN Practitioner - Physician Assistant 3779745385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Stop Medical LLCGroup PAC ID 1850439332, 22 clinicians

Practice addresses (Care Compare)

326 N Locust Ave
Lawrenceburg, TN 38464-3516
Phone (931) 762-9797

912 W College St
Pulaski, TN 38478-3630
Phone (931) 424-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2040TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Stop Medical, LLC CurrentSince Jan 18, 2020 Accepting new patients

Locations

202 Joe Ave
Hohenwald, TN 38462
Phone (931) 796-9797

326 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-0800

326 N Locust Ave
#B
Lawrenceburg, TN 38464
Phone (931) 762-9797

912 W College St
Pulaski, TN 38478
Phone (931) 424-9797

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": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1376817536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643516",
            "telephone_number": "931-762-9797",
            "fax_number": "931-762-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783630",
            "telephone_number": "931-424-9797",
            "fax_number": "931-424-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CONSTANCE",
        "middle_name": "SABRINA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.