Active NPI
Jason Andrew Long, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 24282
- Practice address
- 701 Grove Rd
Greenville, SC 29605-4210 - Phone
- (864) 455-3076
- Fax
- (864) 455-4135
- NPI assigned
- Feb 3, 2012
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024175682 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 24282 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd
Greenville, SC 29605-4210
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8614
Other practice location 1
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN3341 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Patewood Dr
Greenville, SC 29615-3570
Phone (864) 797-1403
67 Creekside Park CT
Greenville, SC 29615-4810
Phone (864) 522-3700
701 Grove Rd
Greenville, SC 29605-4210
830 S Buncombe Rd
Greer, SC 29650-2400
Phone (864) 455-2455
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24282 | SC | MD | Certified Registered Nurse Anesthetist |
| 0024175682 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Pathology Associates of Greenville PA | Current | Accepting new patients |
Locations
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200
175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647
1413 John B White SR Blvd
Ste D
Spartanburg, SC 29306
Phone (864) 587-5768
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Interoperability endpoints
- jlong342876@direct.ghs.myhfn.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, SC
- NPI 1831151976
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Anesthesiology Physician
- Greenville, SC
- NPI 1528465374
-
- General Acute Care Hospital
- Easley, SC
- NPI 1639656713
Hospital & facility affiliations 48
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1033664909
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1114473212
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1124574223
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1144775032
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1144914607
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1174079271
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1326884982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1831461060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8614",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-455-3076",
"fax_number": "864-455-4135"
}
],
"practiceLocations": [
{
"address_1": "7 Independence Pt Ste 300",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154569",
"country_code": "US",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "JASON",
"middle_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-03",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024175682",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "24282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN3341",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.