Individual provider Active NPI

Deborah Schulte Long, CFNP

  • Family Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1598712713
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN075203 Issued in GA
Practice address
3500 McClure Bridge Rd
Duluth, GA 30096-3131
Phone
(770) 476-3636
Fax
(770) 476-5845
NPI assigned
May 31, 2006
Last updated
May 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN GA
Family Nurse Practitioner 363LF0000X RN075203 GA Primary
Registered Nurse 163W00000X RN075203 GA

Addresses

Primary practice location

3500 McClure Bridge Rd
Duluth, GA 30096-3131

Mailing address

3500 McClure Bridge Rd
Duluth, GA 30096-3131
Phone (770) 476-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20130611000267 GA Practitioner - Nurse Practitioner 3678712353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Georgia Diagnostic Associates and Clinic, LLCGroup PAC ID 1951655737, 81 clinicians

Practice addresses (Care Compare)

1240 Jesse Fewell Pkwy SE
Gainesville, GA 30501-3861

1250 Jesse Jewell Pkwy SE
Suite 400
Gainesville, GA 30501-3865
Phone (770) 536-9864

1270 Friendship Rd
Braselton, GA 30517-5629
Phone (770) 536-9864

2800 Buford Dr
Suite 200
Buford, GA 30519-5107
Phone (678) 344-3744

3500 McClure Bridge Rd
Duluth, GA 30096-3131
Phone (770) 476-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.26 of 100Reported as group
Quality
71.9
Promoting interoperability
75
Improvement activities
40
Cost
76.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RNGAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Diagnostic Associates and Clinic, LLC CurrentSince Jul 1, 2021 Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Jul 1, 2020 Accepting new patients
Gwinnett Medical Group, Inc Past Accepting new patients

Locations

3500 McClure Bridge Rd
Duluth, GA 30096
Phone (770) 476-3636

1250 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (770) 532-0800

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

Interoperability endpoints

  • Direct secure messaging: deborahschultelong@negaidx.allscriptsdirect.net

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 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1598712713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MCCLURE BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963131",
            "telephone_number": "770-476-3636",
            "fax_number": "770-476-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MCCLURE BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963131",
            "telephone_number": "770-476-3636",
            "fax_number": "770-476-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE LONG",
        "first_name": "DEBORAH",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN075203",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN075203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.