Active NPI
Casey Long, M.D.
- Pain Medicine Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- MD33195
- 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
Practice addresses (Care Compare)
2692 US Hwy 431
Boaz, AL 35957-5845
Phone (256) 558-6000
Hospital & facility affiliations
- Marshall Medical Centers
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.33195 | AL | MD | Family Medicine Physician |
| MD33195 | AL | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Medical Corporation PC | Family Medicine | Current | Accepting new patients |
| Family Care Associates | Current | Accepting new patients | |
| Go Medical Corporation PC | Family Medicine | Past | Accepting new patients |
Locations
1855 Halcyon Blvd
Montgomery, AL 36117
Phone (334) 530-6387
Interoperability endpoints
- casey.long@center4pain.gwaydirect.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.33195 | AL | |
| Pain Medicine Physician | 208VP0000X | MD33195 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185213 | Medicaid | AL |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.