Active NPI
Joseph Long II
- Nurse Practitioner
- Myrtle Beach, SC
National Provider Identifier
1760922322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 20637
- Practice address
- 210 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-6706 - Phone
- (843) 236-3222
- NPI assigned
- Mar 2, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 20637 | SC | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 20637 | SC |
Addresses
Primary practice location
210 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-6706
Mailing address
210 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-6706
Phone (843) 236-3222
Other practice location 1
4016 River Oaks Dr
Myrtle Beach, SC 29579-6673
Phone (843) 742-7922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
51 Business Campus Way
Suite 100
Duncannon, PA 17020-9596
Phone (717) 932-5200
Hospital & facility affiliations
- Upmc Memorial
- Upmc Pinnacle Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.93 of 100
- Quality
- 90.59
- Improvement activities
- 40
- Cost
- 57.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20637 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Imaging & Therapeutic Associates Inc | Current | Accepting new patients | |
| Orthosc, LLC | Past | Accepting new patients |
Locations
51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280
629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765
1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Lewisberry, PA
- NPI 1609863893
-
- Orthopaedic Surgery Physician
- North Myrtle Beach, SC
- NPI 1568100691
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, PA
- NPI 1063945707
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1760922322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER BLVD STE 200",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796706",
"telephone_number": "843-236-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER BLVD STE 200",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796706",
"telephone_number": "843-236-3222"
}
],
"practiceLocations": [
{
"address_1": "4016 River Oaks Dr",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295796673",
"country_code": "US",
"telephone_number": "843-742-7922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "JOSEPH",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-02",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "20637",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "20637",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.