Individual provider Active NPI

Michael David Longe, MD

  • Diagnostic Radiology Physician
  • Evans, GA
National Provider Identifier
1881817286
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
058273 Issued in GA
Practice address
4350 Towne Centre Dr
Suite 1000
Evans, GA 30809-3301
Phone
(706) 868-3940
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 058273 GA
Diagnostic Radiology Physician 2085R0202X 058273 GA Primary
Diagnostic Ultrasound Physician 2085U0001X 058273 GA
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 058273 GA
Neuroradiology Physician 2085N0700X 058273 GA
Pediatric Radiology Physician 2085P0229X 058273 GA

Addresses

Primary practice location

4350 Towne Centre Dr
Suite 1000
Evans, GA 30809-3301

Mailing address

PO Box 3845
1125 Troupe Street
Augusta, GA 30914-3845
Phone (706) 737-4275

Other identifiers 2

IdentifierTypeStateIssuer
G58273MedicaidSC
392555936 A-KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080520000102 GA Practitioner - Diagnostic Radiology 7416026265 Reassigns benefits to 3 organizations
I20240731004662 SC Practitioner - Diagnostic Radiology 7416026265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen W Brown and Radiology Associates of Augusta LLPGroup PAC ID 0244293322, 19 clinicians

Practice addresses (Care Compare)

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-5035

2460 Washington Rd
Thomson, GA 30824-6600
Phone (706) 597-5239

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 644-1357

351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232

818 Saint Sebastian Way
Suite 100
Augusta, GA 30901-2652
Phone (706) 722-3574

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
058273GAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Health Imaging, LLC Diagnostic Radiology CurrentSince Sep 30, 2022 Accepting new patients
Evans Imaging, LLC CurrentSince Jul 1, 2008 Accepting new patients
Au Medical Associates Inc CurrentSince Sep 30, 2022 Accepting new patients
Au Medical Associates Inc CurrentSince Sep 30, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Stephen W. Brown and Radiology Associates of Augusta LLP Body Imaging CurrentSince Jul 1, 2008 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 18, 2024 Accepting new patients

Locations

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

3624 J Dewey Gray Cir
Ste 100
Augusta, GA 30909
Phone (706) 561-6501

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

818 Saint Sebastian Way
Ste 100
Augusta, GA 30901
Phone (706) 722-3574

1125 Troupe St
Augusta, GA 30904
Phone (706) 738-7977

3610 Wheeler Rd
Augusta, GA 30909
Phone (706) 210-9500

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

4350 Towne Centre Dr
Evans, GA 30809
Phone (706) 724-4400

4350 Towne Centre Dr
Ste 1000
Evans, GA 30809
Phone (706) 868-3940

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1881817286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3845",
            "address_2": "1125 TROUPE STREET",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143845",
            "telephone_number": "706-737-4275",
            "fax_number": "706-731-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR",
            "address_2": "SUITE 1000",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093301",
            "telephone_number": "706-868-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGE",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "GA",
            "license": "058273",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "058273",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "GA",
            "license": "058273",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "GA",
            "license": "058273",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "GA",
            "license": "058273",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "GA",
            "license": "058273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G58273",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392555936 A-K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.