Active NPI
Lesle D. Long, M.D.
- Internal Medicine Physician
- Greer, SC
National Provider Identifier
1528045069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17555
- Practice address
- 89A Sonia Dr
Greer, SC 29650-4540 - Phone
- (864) 530-0300
- Fax
- (864) 530-0304
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140181 | Medicaid | SC | |
| 175553 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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 |
|---|---|---|---|---|
| I20070724000112 | SC | Practitioner - Internal 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
- Interim Healthcare of the Upstate
- St Francis-Downtown
- Prisma Health Patewood Hospital
- Prisma Health Greenville Memorial Hospital
- Prisma Health Greer Memorial Hospital
- Prisma Health Hillcrest Hospital
- Prisma Health North Greenville Ltach
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17555 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Consultants of the Carolinas, PA | Internal Medicine | Current | Accepting new patients |
| MCC, Inc. | Past | Accepting new patients | |
| Oaktree Medical Centre, PC | Past | Accepting new patients | |
| On-Site Medical | 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
- lesle.long@1062565541511172.direct.elationemr.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1992805972
Internal Medicine, SC
-
- Clinical Social Worker
- Greenville, SC
- NPI 1306177019
-
- Clinic/Center
- Easley, SC
- NPI 1154308617
-
- Specialist
- Greer, SC
- NPI 1285964080
Hospital & facility affiliations 60
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenville, SC
- NPI 1750897609
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140181",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175553",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.