Individual provider Active NPI

Joshua P Delong, CRNA

  • Certified Registered Nurse Anesthetist
  • Myrtle Beach, SC
National Provider Identifier
1598715641
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R88839 Issued in SC
Practice address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 692-1062
NPI assigned
May 11, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R88839 SC Primary

Addresses

Primary practice location

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

PO Box 1792
Columbia, SC 29202-1792

Other identifiers 1

IdentifierTypeStateIssuer
AN1126MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060421000156 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042220949 Reassigns benefits to 4 organizations
I20120718000969 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042220949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R88839SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Loris Seacoast Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 18, 2012 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jul 18, 2012 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2021 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2016 Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2012 Accepting new patients
McLeod Physician Associates II Current Accepting new patients
Carolina Regional Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 7, 2014 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2021 Accepting new patients
Ambulatory Care Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Southern Cardiac Imaging, LLC Past Accepting new patients
Coastal Anesthesia Medical Group, LLC Past Accepting new patients
Strand Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Oneota Anesthesia and Pain Management Services PLLC Nurse Anesthetist, Certified Registered PastSince Sep 1, 2009 Accepting new patients

Locations

34 Granby St
Asheville, NC 28801
Phone (828) 225-0861

76 Peachtree Rd
Ste 300
Asheville, NC 28803
Phone (828) 254-1969

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

2829 E Highway 76
Mullins, SC 29574
Phone (843) 431-2150

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

827 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 286-2020

945 82nd Pkwy
Ste 2
Myrtle Beach, SC 29572
Phone (843) 839-0823

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1598715641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1792",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292021792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "JOSHUA",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "R88839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1126",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.