Active NPI
Sherrie R Long, NP
- Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 804367
- Practice address
- 1030 River Oaks Dr
Jackson, MS 39232-9553 - Phone
- (800) 893-9698
- NPI assigned
- Nov 13, 2006
- Last updated
- Sep 25, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 804367 | MS | Primary |
| Emergency Medicine Physician | 207P00000X | R804367 | MS |
Addresses
Primary practice location
1030 River Oaks Dr
Jackson, MS 39232-9553
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Other practice location 1
104 Fort Hill Rd
Waverly, TN 37185-2128
Phone (731) 394-1145
Other practice location 2
823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00124253 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Sunflower Medical Center
Practice addresses (Care Compare)
1221 E Union St
Ms Care Center of Greenville
Greenville, MS 38703-3243
Phone (731) 394-1145
205 W Park Ave
Greenwood, MS 38930-3008
Phone (662) 219-2742
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R804367 | MS | MD | Emergency Medicine Physician |
| 804367 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Sunflower Medical Center | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| Coffee County Physician Group PC | Emergency Medicine | Current | Accepting new patients |
| Yazoo Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| South Sunflower County Hospital | Current | Accepting new patients | |
| North Sunflower Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| North Sunflower Medical Center | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| Emergency Medicine Associates of Jackson | Emergency Medicine | Past | Accepting new patients |
| Mississippi Visiting Physicians, LLC | Past | Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
200 Corporate Blvd
Ste 201
Lafayette, LA 70508
303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155
1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603
121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113
340 Getwell St
Marks, MS 38646
Phone (662) 326-8031
840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711
823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261
Organizations & group practices 15
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.
-
dba Ultra Health Provders
- Geriatric Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1922469543
MS
-
- Critical Access Hospital
- Ruleville, MS
- NPI 1508913609
-
dba Cleveland Medical Clinic
- Family Medicine Physician
- Cleveland, MS
- NPI 1891705133
-
- General Acute Care Hospital
- Indianola, MS
- NPI 1184679292
-
dba UMMC Greenwood Hospital
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
-
- Emergency Medicine Physician
- Yazoo City, MS
- NPI 1447806914
-
- General Acute Care Hospital
- Rolling Fork, MS
- NPI 1013004795
-
dba Sunflower Greenwood Clinic
- Rural Health Clinic/Center
- Greenwood, MS
- NPI 1063292464
-
- Anesthesiology Physician
- Indianola, MS
- NPI 1407064454
-
dba Delta Surgical Clinic
- Clinic/Center
- Indianola, MS
- NPI 1487685897
-
- Advanced Practice Midwife
- Indianola, MS
- NPI 1962395863
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ruleville, MS
- NPI 1508913609
-
- Critical Access Hospital
- Winona, MS
- NPI 1205868627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1568533248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 RIVER OAKS DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392329553",
"telephone_number": "800-893-9698"
}
],
"practiceLocations": [
{
"address_1": "104 Fort Hill Rd",
"address_purpose": "LOCATION",
"city": "Waverly",
"state": "TN",
"postal_code": "371852128",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "823 Grand Ave",
"address_purpose": "LOCATION",
"city": "Yazoo City",
"state": "MS",
"postal_code": "391943233",
"country_code": "US",
"telephone_number": "662-746-2261",
"fax_number": "662-746-4839",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "SHERRIE",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "804367",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "R804367",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00124253",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.