Active NPI
Michael August Long, M.D.
- Anesthesiology Physician
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 48520
- Practice address
- 10415 Wallace Alley St
Kingsport, TN 37663-3936 - Phone
- (423) 390-0451
- NPI assigned
- May 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 48520 | TN | Primary |
| Anesthesiology Physician | 207L00000X | 29752 | AL | |
| Anesthesiology Physician | 207L00000X | ME163851 | FL |
Addresses
Primary practice location
10415 Wallace Alley St
Kingsport, TN 37663-3936
Mailing address
10415 Wallace Alley St
Kingsport, TN 37663-3936
Phone (423) 390-0451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29752 | AL | MD | Anesthesiology Physician |
| ME163851 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Ambulatory Surgery Center LLC | Current | Accepting new patients | |
| Paragon Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Singing River Health System | Past | Accepting new patients | |
| Bristol Computer Services, Inc. | Past | Accepting new patients |
Locations
350 Blountville Hwy
Ste 207
Bristol, TN 37620
Phone (423) 968-2772
3185 W State St
Bristol, TN 37620
Phone (423) 968-4141
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
701 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 283-7302
10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Ambulatory Surgical Clinic/Center
- Johnson City, TN
- NPI 1659360071
-
- Certified Registered Nurse Anesthetist
- Bristol, TN
- NPI 1679058929
-
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1679731269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10415 WALLACE ALLEY ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376633936",
"telephone_number": "423-390-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10415 WALLACE ALLEY ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376633936",
"telephone_number": "423-390-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "MICHAEL",
"middle_name": "AUGUST",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "48520",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "29752",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME163851",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.