Ashley Elder Long, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8031 Issued in GA

Practice address

2002 S Main St
Madison, GA 30650-2054

Phone

(706) 342-1555

Fax

(706) 342-3917

NPI assigned

Jul 18, 2016

Last updated

Oct 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Elizabeth Elder Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15011/brand/1/csg/1/fhir/r4

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.

• W. Daniel Zant,Jr MD PC

  • Primary Care Clinic/Center
  • Madison, GA
  • NPI 1225524515
  Medicare reassignment
• Madison Family Medicine,LLP

  • Family Medicine Physician
  • Madison, GA
  • NPI 1336208610
  NPD
• Pamela Hall, MD PC

  • Family Medicine Physician
  • Madison, GA
  • NPI 1639688989
  NPD
• Zant Extended Care, Inc.

  • Family Medicine Physician
  • Madison, GA
  • NPI 1477204469
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1689027435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 S MAIN ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306502054",
            "telephone_number": "706-342-1555",
            "fax_number": "706-342-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 S MAIN ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306502054",
            "telephone_number": "706-342-1555",
            "fax_number": "706-342-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ASHLEY",
        "middle_name": "ELDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "ELDER",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haley Masland Lapaquette, PHARMD
• George Bazant Launius, RPH
• John W Layher Jr., MD
• Lee, Ellerman, and Associates, OD, PC
• Lawrence K. Lewis, M.D.
• Richard Charles Luke, LDO
• Lisa Lyles
• M S Publishing and Consulting LLC (Marilyn S. Snow, Ph.D, LPC, RPT-S)
• Madison Drug LLC (Madison Drug)
• Madison Drug, LLC (Madison Drug LLC LTC)

• Medical Physician Assistant in Madison, GA
• Providers in Madison, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.