Logan G Langley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9114280 Issued in FL

Practice address

224 NW Crane Ave
Madison, FL 32340-1400

Phone

(850) 253-1917

NPI assigned

May 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• North Meridian Medical Services Corporation

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1760740237

  FL

  Medicare reassignment
• Southland EMS at Madison, PLLC

  • Emergency Medicine Physician
  • Madison, FL
  • NPI 1801024880

  FL

  Medicare reassignment
• Madison County Hospital Health Systems, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Madison, FL
  • NPI 1083684856
  NPD (past)
• Madison County Hospital Health Systems, Inc.

  • Critical Access Hospital
  • Madison, FL
  • NPI 1104821461
  NPD (past)

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1558944827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 NW CRANE AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401400",
            "telephone_number": "850-253-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 NW CRANE AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323401400",
            "telephone_number": "850-253-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "LOGAN",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9114280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Gabriel Krell, LPC
• L a D S Co. of North Florida
• Lake Park Nursing & Rehab Center LLC
• Lake Park of Madison, LLC
• Lake Park Operations, LLC
• Richard Michael Laubaugh, M.D.
• Little Pine Pediatrics PLLC
• Little Pine Pediatrics, PLLC
• Natasha Linnett Lumpkin
• Madison Chiropractic Center, LLC

• All providers in Madison, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.