Kelly Ann Long, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2008 Issued in SC

Practice address

15 Exchange Dr
Lugoff, SC 29078-9198

Phone

(803) 408-3277

Fax

(803) 408-3299

NPI assigned

Nov 1, 2006

Last updated

May 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC, VA2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360Care Audiology of Virginia LLCGroup PAC ID 8123506227, 4 clinicians

The Hearing ClinicGroup PAC ID 6901852896, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scent@allmedsdirectmail.com

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.

• 360Care Audiology of Virginia LLC

  • Audiologist
  • Richmond, VA
  • NPI 1821988031
  Medicare reassignment Care Compare group NPD
• The Hearing Clinic

  • Audiologist
  • Blacksburg, VA
  • NPI 1023116795
  Medicare reassignment Care Compare group NPD
• South Carolina ENT Allergy & Sleep Medicine PA

  • Otolaryngology Physician
  • Lugoff, SC
  • NPI 1134153083
  Medicare reassignment NPD
• 360Care LLC

  • Dentist
  • Louisville, KY
  • NPI 1417592536

  Audiologist, SC

  Medicare reassignment NPD
• 360Care LLC

  • Audiologist
  • Columbia, SC
  • NPI 1619598281
  NPD
• Centa Medical Group PA

  • Otolaryngology Physician
  • Lexington, SC
  • NPI 1881626133
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1457438905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EXCHANGE DR",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789198",
            "telephone_number": "803-408-3277",
            "fax_number": "803-408-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EXCHANGE DR",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789198",
            "telephone_number": "803-408-3277",
            "fax_number": "803-408-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0255",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SCENT@allmedsdirectmail.com",
            "affiliation": "N",
            "address_1": "15 EXCHANGE DR",
            "city": "LUGOFF",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290789198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lifeline Ambulance
• Lighthouse Therapeutics
• Lighthouse Therapeutics
• Lighthouse Transit
• McKenzie Elyse Lillia
• Debra C Lowsky, MS, CCC-SLP
• Lugoff Family Dentistry, LLC
• Lauren Mackey, PHARMD
• Morgan Lane Magee, APRN FNP
• Durham Russell Maples, D.C.

• Audiologist in Lugoff, SC
• Providers in Lugoff, SC by specialty
• Audiologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.