Individual provider Active NPI

Casey Long, M.D.

  • Pain Medicine Physician
  • Montgomery, AL
National Provider Identifier
1609284751
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD33195 Issued in AL
Practice address
432 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone
(334) 288-7808
Fax
(334) 288-8089
NPI assigned
Jul 31, 2014
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Medical Corporation, PC 7 clinicians

Practice addresses (Care Compare)

2692 US Hwy 431
Boaz, AL 35957-5845
Phone (256) 558-6000

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141014001690 AL Practitioner - Family Practice 7517188626 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.33195ALMDFamily Medicine Physician
MD33195ALMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Go Medical Corporation PC Family Medicine CurrentSince May 22, 2023 Accepting new patients
Family Care Associates CurrentSince Oct 1, 2020 Accepting new patients
Go Medical Corporation PC Family Medicine PastSince Aug 18, 2024 Accepting new patients

Locations

1855 Halcyon Blvd
Montgomery, AL 36117
Phone (334) 530-6387

Interoperability endpoints

  • Direct secure messaging: casey.long@center4pain.gwaydirect.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.33195 AL
Pain Medicine Physician 208VP0000X MD33195 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

432 Saint Lukes Dr
Montgomery, AL 36117-7104

Mailing address

PO Box 241348
Montgomery, AL 36124-1348
Phone (334) 288-7808

Other practice location 1

488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone (334) 288-7808

Other practice location 2

660 McQueen Smith Rd N Ste E
Prattville, AL 36066-7559
Phone (334) 288-7808

Other practice location 3

3320 Skyway Dr Ste 701
Opelika, AL 36801-7139
Phone (334) 288-7808

Other practice location 4

2065 E South Blvd Ste 401
Montgomery, AL 36116-2462
Phone (334) 288-7808

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
185213MedicaidAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2019.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1609284751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241348",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241348",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "488 Saint Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361177104",
            "country_code": "US",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 McQueen Smith Rd N Ste E",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360667559",
            "country_code": "US",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3320 Skyway Dr Ste 701",
            "address_purpose": "LOCATION",
            "city": "Opelika",
            "state": "AL",
            "postal_code": "368017139",
            "country_code": "US",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2065 E South Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162462",
            "country_code": "US",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.33195",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AL",
            "license": "MD33195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185213",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.