Caroline Victoria Long, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN223432 Issued in GA

Practice address

189 Jefferson Pkwy
Newnan, GA 30263

Phone

(770) 304-2220

NPI assigned

Jan 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Piedmont Pediatric Physicians LLC

  • Pediatrics Physician
  • Newnan, GA
  • NPI 1447315742
  Medicare reassignment NPD
• Kidzone Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1790136729
  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1861990483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 JEFFERSON PKWY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635823",
            "telephone_number": "770-304-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 JEFFERSON PKWY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30263",
            "telephone_number": "770-304-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CAROLINE",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN223432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Littlepage
• George H. Livermore III, M.D.
• Destiny Lockhart, RBT
• Caitlin Craig Lofaro
• Walter M. Lonergan, M.D.
• Maria Alejandra Lopez Carrillo, RBT
• Teresa Lord Schoenbeck, LPN
• Michele Lore, PA-C
• Louis F. Boynton II Psychotherapy LLC
• David Joseph Love, M.D.

• Pediatric Nurse Practitioner in Newnan, GA
• Providers in Newnan, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.