Active NPI
Omololu Longe, MD
- Family Medicine Physician
- McGehee, AR
National Provider Identifier
1467192039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-20445
- Practice address
- 900 S 3Rd St
McGehee, AR 71654 - Phone
- (870) 222-5600
- NPI assigned
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-20445 | AR | Primary |
Addresses
Primary practice location
900 S 3Rd St
McGehee, AR 71654
Mailing address
900 S 3Rd St
McGehee, AR 71654
Phone (870) 222-5600
Other practice location 1
1601 W 40th Ave Ste 100
Pine Bluff, AR 71603-6069
Phone (870) 541-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260505003000 | AR | Practitioner - Family Practice | 8921576216 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Zotec Way
Carmel, IN 46032-0052
10996 Four Seasons PL
Suite 100C
Crown Point, IN 46307-7762
3321 S Bowman Rd
Apt 117
Little Rock, AR 72211-4687
PO Box
Suite 9178
Russellville, AR 72811
Hospital & facility affiliations
- Forrest City Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-20445 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Associates of Clarksville,PA | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Legal Medicine
- Clarksville, AR
- NPI 1518957240
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Forrest City, AR
- NPI 1811912009
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1467192039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S 3RD ST",
"city": "MCGEHEE",
"state": "AR",
"postal_code": "71654",
"telephone_number": "870-222-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S 3RD ST",
"city": "MCGEHEE",
"state": "AR",
"postal_code": "71654",
"telephone_number": "870-222-5600"
}
],
"practiceLocations": [
{
"address_1": "1601 W 40th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Pine Bluff",
"state": "AR",
"postal_code": "716036069",
"country_code": "US",
"telephone_number": "870-541-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGE",
"first_name": "OMOLOLU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-20445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McGehee, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.