Active NPI
Scott David Long, PA-C
- Physician Assistant
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103319
- Practice address
- 1309 Lees Chapel Rd
Greensboro, NC 27455-2601 - Phone
- (336) 800-8958
- Fax
- (336) 286-5583
- NPI assigned
- Sep 16, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103319 | NC | Primary |
Addresses
Primary practice location
1309 Lees Chapel Rd
Greensboro, NC 27455-2601
Mailing address
1021 Darrington Dr Ste 101
Cary, NC 27513-8158
Phone (843) 332-7419
Other practice location 1
300 Mack Rd Ste B
Asheboro, NC 27205-1066
Phone (336) 510-0202
Other practice location 2
138 Dublin Square Rd
Asheboro, NC 27203-8600
Phone (336) 510-1800
Other practice location 3
420 W Mountain St
Kernersville, NC 27284-2534
Phone (336) 993-1618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1231 Eastchester Dr
High Point, NC 27265-3102
Phone (336) 884-4050
1653 New Garden Rd
Suite 103
Greensboro, NC 27410-2001
Phone (336) 609-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generations Family Practice, PA | Current | Accepting new patients |
Locations
1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339
1309 Lees Chapel Rd
Greensboro, NC 27455
Phone (336) 286-5505
420 W Mountain St
Kernersville, NC 27284
Phone (336) 992-2192
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- High Point, NC
- NPI 1669701306
-
- Family Medicine Physician
- Cary, NC
- NPI 1407902059
-
- Family Medicine Physician
- Carrboro, NC
- NPI 1184394520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1477659506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 DARRINGTON DR STE 101",
"city": "CARY",
"state": "NC",
"postal_code": "275138158",
"telephone_number": "843-332-7419",
"fax_number": "919-378-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 LEES CHAPEL RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552601",
"telephone_number": "336-800-8958",
"fax_number": "336-286-5583"
}
],
"practiceLocations": [
{
"address_1": "300 Mack Rd Ste B",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272051066",
"country_code": "US",
"telephone_number": "336-510-0202",
"fax_number": "336-493-4808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "138 Dublin Square Rd",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272038600",
"country_code": "US",
"telephone_number": "336-510-1800",
"fax_number": "919-890-8529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 W Mountain St",
"address_purpose": "LOCATION",
"city": "Kernersville",
"state": "NC",
"postal_code": "272842534",
"country_code": "US",
"telephone_number": "336-993-1618",
"fax_number": "336-993-5512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "SCOTT",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.