Individual provider Active NPI

Georgianna Lee Prince-Long, AU.D.

  • Audiologist
  • East Liverpool, OH
National Provider Identifier
1780745646
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.01439 Issued in OH
Practice address
15700 State Route 170 Ste a
East Liverpool, OH 43920-9657
Phone
(330) 368-0166
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT005954 PA
Audiologist 231H00000X A01439 OH
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X A.01439 OH Primary

Addresses

Primary practice location

15700 State Route 170 Ste a
East Liverpool, OH 43920-9657

Mailing address

17420 Cannons Mills Road
Wellsville, OH 43968
Phone (412) 913-5475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723000365 OH Practitioner - Qualified Audiologist 8820129489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

740 Commerce Dr
Suite a
Perrysburg, OH 43551-5276
Phone 24852821166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A01439OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Inc Single Specialty Current Accepting new patients
Buckeye Hearing and Audiology, Inc. Single Specialty CurrentSince May 3, 2025 Accepting new patients
Mobile Medical, Inc. Single Specialty CurrentSince Aug 15, 2025 Accepting new patients
Mobile Medical, Inc. Single Specialty Past Accepting new patients
Onhealthcare, LLC Past Accepting new patients

Locations

15700 State Route 170
Ste A
East Liverpool, OH 43920
Phone (304) 232-7151

755 S Plum St
Marysville, OH 43040
Phone (937) 644-8836

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1780745646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17420 CANNONS MILLS ROAD",
            "city": "WELLSVILLE",
            "state": "OH",
            "postal_code": "43968",
            "telephone_number": "412-913-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 STATE ROUTE 170 STE A",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209657",
            "telephone_number": "330-368-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE-LONG",
        "first_name": "GEORGIANNA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005954",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01439",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.