NPIMap

Individual provider Active NPI

William S Long, DPM

  • Podiatrist
  • Simpsonville, SC
National Provider Identifier
1447486980
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
617 Issued in SC
Practice address
801 SE Main Street
Simpsonville, SC 29681-3226
Phone
(864) 399-9070
Fax
(864) 399-9664
NPI assigned
Jun 10, 2009
Last updated
Oct 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 617 SC Primary
Podiatrist 213E00000X SC006156 PA

Addresses

Primary practice location

801 SE Main Street
Simpsonville, SC 29681-3226

Mailing address

801 SE Main Street
Simpsonville, SC 29681-3226
Phone (864) 399-9070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20130912000667 SC Practitioner - Podiatry 1850535857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Podiatry Group PAGroup PAC ID 5698919694, 8 clinicians

Practice addresses (Care Compare)

801 SE Main St
Simpsonville, SC 29681-7150
Phone (864) 399-9070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue32
Removal of nail tissue225
Removal or shaving of skin growth223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
617SCMDOral and Maxillofacial Surgery (Dentist)
SC006156PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville County Memorial Hospital Current Accepting new patients
Upstate Podiatry Group, PA Podiatrist CurrentSince Jul 8, 2013 Accepting new patients
Upstate Podiatry Group, PA CurrentSince Jul 8, 2013 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Jan 26, 2020 Accepting new patients

Locations

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

1010 W Main St
Laurens, SC 29360
Phone (864) 399-9070

801 SE Main St
Simpsonville, SC 29681
Phone (864) 399-9070

Interoperability endpoints

  • Direct secure messaging: wlong32253@direct.ghs.myhfn.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 8

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1447486980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SE MAIN STREET",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813226",
            "telephone_number": "864-399-9070",
            "fax_number": "864-399-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SE MAIN STREET",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813226",
            "telephone_number": "864-399-9070",
            "fax_number": "864-399-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "617",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.