NPIMap

Individual provider Active NPI

Eugene Mitchell Long III, M.D.

  • Hematology & Oncology Physician
  • Augusta, GA
National Provider Identifier
1477996965
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
24457 Issued in GA
Practice address
3696 Wheeler Rd
Augusta, GA 30909
Phone
(706) 831-7620
NPI assigned
Apr 15, 2013
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24457 MS
Hematology & Oncology Physician 207RH0003X 24457 GA Primary

Addresses

Primary practice location

3696 Wheeler Rd
Augusta, GA 30909

Mailing address

3696 Wheeler Rd
Augusta, GA 30909-6520
Phone (706) 831-7620

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190809001346 GA Practitioner - Hematology/Oncology 5698063816 Reassigns benefits to 1 organization
I20200102002804 SC Practitioner - Internal Medicine 5698063816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Augusta Oncology Associates PCGroup PAC ID 8921089756, shared by 2 NPIs, 36 clinicians

Practice addresses (Care Compare)

150 Bluff Ave
North Augusta, SC 29841-3862
Phone (706) 736-1830

3696 Wheeler Rd
Augusta, GA 30909-6520
Phone 7067361830213

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.47 of 100Reported as group
Quality
41.03
Promoting interoperability
97
Improvement activities
40
Cost
98.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24457MSMDInternal Medicine Physician
24457GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Oncology Associates PC Hematology & Oncology CurrentSince Aug 15, 2019 Accepting new patients
Csra Plastic Surgery Associates PC Current Accepting new patients
Augusta Oncology Associates PC Hematology & Oncology CurrentSince Aug 15, 2019 Accepting new patients

Locations

3696 Wheeler Rd
Augusta, GA 30909
Phone (706) 736-1830

222 University Pkwy
Aiken, SC 29801
Phone (706) 736-1830

150 Bluff Ave
North Augusta, SC 29841
Phone (706) 736-1830

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1477996965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-831-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3696 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-831-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "EUGENE",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "24457",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "24457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.