Active NPI
Omololu Longe, MD
- Family Medicine Physician
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-20445
- Practice address
- 4143 John F Kennedy Blvd
North Little Rock, AR 72116-8264 - Phone
- (501) 307-7643
- Fax
- (855) 576-4813
- NPI assigned
- Mar 31, 2022
- Last updated
- Sep 24, 2026
- 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
4143 John F Kennedy Blvd
North Little Rock, AR 72116-8264
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
1601 W 40th Ave Ste 100
Pine Bluff, AR 71603-6069
Phone (870) 541-6000
Other practice location 2
900 S 3rd St
McGehee, AR 71654
Phone (870) 222-5600
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
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
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 |
|---|---|---|---|
| Archwell Health Professional Services of Arkansas PA | Family Medicine | Current | Accepting new patients |
| Family Practice Associates of Clarksville,PA | Past | Accepting new patients |
Locations
4143 John F Kennedy Blvd
North Little Rock, AR 72116
Phone (501) 307-7643
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Critical Access Hospital
- Warren, AR
- NPI 1194741611
-
- Medicare Defined Swing Bed Hospital Unit
- Warren, AR
- NPI 1861519548
-
- Critical Access Hospital
- Warren, AR
- NPI 1972620649
-
- Emergency Medicine Physician
- McGehee, AR
- NPI 1639822653
-
- Family Medicine Physician
- Pine Bluff, AR
- NPI 1154153518
-
- Legal Medicine
- Clarksville, AR
- NPI 1518957240
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Forrest City Medical Center
- General Acute Care Hospital
- Forrest City, AR
- NPI 1811912009
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": "1790208000000",
"number": "1467192039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4143 JOHN F KENNEDY BLVD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721168264",
"telephone_number": "501-307-7643",
"fax_number": "855-576-4813"
}
],
"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"
},
{
"address_1": "900 S 3rd St",
"address_purpose": "LOCATION",
"city": "McGehee",
"state": "AR",
"postal_code": "71654",
"country_code": "US",
"telephone_number": "870-222-5600",
"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": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-20445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.