Active NPI
Long Phuoc Huynh, DO
- Psychiatry Physician
- Fort Benning, GA
National Provider Identifier
1821143587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DOS-942
- Practice address
- Martin Army Community Hospital
Meddac
Fort Benning, GA 31909 - Phone
- (706) 544-1179
- NPI assigned
- Jan 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DOS-942 | HI | Primary |
Addresses
Primary practice location
Martin Army Community Hospital
Meddac
Fort Benning, GA 31909
Mailing address
8220 Midland TRL
Columbus, GA 31909-2146
Phone (706) 544-1179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-942 | HI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821143587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 MIDLAND TRL",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092146",
"telephone_number": "706-544-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARTIN ARMY COMMUNITY HOSPITAL",
"address_2": "MEDDAC",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "31909",
"telephone_number": "706-544-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "LONG",
"middle_name": "PHUOC",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "DOS-942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.