Brandy Michelle Long, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN221302 Issued in GA

Practice address

421 12TH St
Columbus, GA 31901-2522

Phone

(706) 494-7796

NPI assigned

Jun 5, 2019

Last updated

Jun 5, 2019By 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

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Health Professionals of Lagrange, LLCGroup PAC ID 3779982079, 3 clinicians

Americanwork, LLCGroup PAC ID 8224330410, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Americanwork, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Augusta, GA
  • NPI 1356490304
  Medicare reassignment Care Compare group NPD
• Behavioral Health Professionals of Lagrange, LLC

  • Psychiatry Physician
  • Lagrange, GA
  • NPI 1861016537
  Medicare reassignment Care Compare group NPD
• Serenity Mental Health Services

  • Family Nurse Practitioner
  • Hamilton, GA
  • NPI 1922967447
  NPD Authorized official
• Americanwork, LLC

  dba Clarvida

  • Community/Behavioral Health Agency
  • Augusta, GA
  • NPI 1770731499
  NPD

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1730747593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WINDSONG DR",
            "city": "CATAULA",
            "state": "GA",
            "postal_code": "318042363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 12TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012522",
            "telephone_number": "706-494-7796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9067 Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "GA",
            "postal_code": "318203411",
            "country_code": "US",
            "telephone_number": "706-494-7796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRANDY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN221302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Donald Lokkesmoe, M.D.
• Mwingi Ida Lomami, CFNP
• Chastity Lombardi
• Jennie B Lombardo, MCD, CCC-SLP
• Peggy Milner Loney, LPT
• Brittney Lashay Long
• Lorri Long, RD, LD
• Richard P Long, MFT
• Tiara Long
• William Gregory Long, DMD

• Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.