Donica Long, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902328 Issued in MS

Practice address

400 Northwest PLZ
Senatobia, MS 38668-1740

Phone

(662) 301-8330

Fax

(662) 301-8374

NPI assigned

Oct 17, 2017

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 identifiers 1

Other names 1

• Donica Davia Former name

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinic 221 Family Health Care LLCGroup PAC ID 4880938992, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland Hills Medical Center Hospital, Senatobia, MS, CCN 250172

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18806/brand/1/csg/1/fhir/r4
• Direct secure messaging: donica.long.1@18806.direct.athenahealth.com

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.

• Clinic 221, Family Health Care, LLC

  • Primary Care Clinic/Center
  • Senatobia, MS
  • NPI 1073089843
  Medicare reassignment Care Compare group NPD

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

• Tate County Hospital

  dba Highland Hills Medical Center

  • General Acute Care Hospital
  • Senatobia, MS
  • NPI 1619676251
  Care Compare affiliation
• Tate County Hospital

  dba Highland Hills Medical Associates of Strayhorn

  • Family Medicine Physician
  • Sarah, MS
  • NPI 1669349502

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1710498746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 ANTIOCH RD",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386188165",
            "telephone_number": "662-209-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NORTHWEST PLZ",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386681740",
            "telephone_number": "662-301-8330",
            "fax_number": "662-301-8374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4962 Highway 305",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MS",
            "postal_code": "386185821",
            "country_code": "US",
            "telephone_number": "662-370-5067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "DONICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONICA",
            "last_name": "DAVIA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lee Family Dentistry, PA
• Katelyn McCluskey Liles, PA-C
• James W Litton II, ACNP
• Olivia Lorayne Lloyd, OTR
• LM Burnett Health Services, Inc (Preventive Care Health and Wellness)
• Alyssa Mabry, OD
• Magnolia Medical Supplies and Equipment
• David Scott Massey
• Kayla Sue Massey, FNP-BC
• Mays Pharmacy

• Family Nurse Practitioner in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.

Verify at the official NPI Registry.