NPIMap

Individual provider Active NPI

Lesle D. Long, M.D.

  • Internal Medicine Physician
  • Greer, SC
National Provider Identifier
1528045069
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17555 Issued in SC
Practice address
89A Sonia Dr
Greer, SC 29650-4540
Phone
(864) 530-0300
Fax
(864) 530-0304
NPI assigned
Dec 27, 2005
Last updated
Apr 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17555 SC Primary

Addresses

Primary practice location

89A Sonia Dr
Greer, SC 29650-4540

Mailing address

89A Sonia Dr
Greer, SC 29650-4540
Phone (864) 530-0300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000112 SC Practitioner - Internal MedicinePractitioner - Emergency Medicine 7517862626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

103 S Venture Dr
Greenville, SC 29615-3571
Phone (864) 530-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14018SCMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Consultants of the Carolinas, PA Internal Medicine CurrentSince Jan 1, 1998 Accepting new patients
Oaktree Medical Centre, PC Past Accepting new patients
On-Site Medical Past Accepting new patients
MCC, Inc. Past Accepting new patients

Locations

103 S Venture Dr
Greenville, SC 29615
Phone (864) 244-7165

103 S Venture Dr
Ste A
Greenville, SC 29615
Phone (864) 530-0300

89A Sonia Dr
Greer, SC 29650
Phone (864) 530-0300

Interoperability endpoints

  • Direct secure messaging: lesle.long@1062565541511172.direct.elationemr.com

Organizations & group practices 5

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 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1528045069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89A SONIA DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504540",
            "telephone_number": "864-530-0300",
            "fax_number": "864-530-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89A SONIA DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504540",
            "telephone_number": "864-530-0300",
            "fax_number": "864-530-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LESLE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.