Valiece Tiara Long, M.S.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

19340000X Issued in NE

Practice address

750 Chastain Cor
Marietta, GA 30066-8518

Phone

(727) 590-2303

NPI assigned

May 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Valiece Tiara Long Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1811780646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2343",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337572343",
            "telephone_number": "727-590-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CHASTAIN COR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300668518",
            "telephone_number": "727-590-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "VALIECE",
        "middle_name": "TIARA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NE",
            "license": "19340000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALIECE",
            "last_name": "LONG",
            "middle_name": "TIARA",
            "credential": "M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elaine Ying Long
• Kimberley L Long, CNM
• Lisa Long, PHARMD
• Miriam D Long
• Stephanie Diane-Hunsley Long, RPH
• Anna Virginia Longacre, MD
• Longs Opticians Inc.
• Robert Blake Lonis, PA
• Dustin Albert Looker
• Bailey Joy Loomis

• Procedural Dermatology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Procedural Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.