Active NPI
Jason Lane Herlong, M.D.
- Anesthesiology Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 71789
- Practice address
- 5353 Reynolds St
Savannah, GA 31405-6015 - Phone
- (912) 819-6000
- NPI assigned
- Jul 1, 2009
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 22503 | NH | |
| Anesthesiology Physician | 207L00000X | 51553 | SC | |
| Anesthesiology Physician | 207L00000X | 4301094817 | MI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD.207659 | LA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 51553 | SC | |
| Pain Medicine Physician | 208VP0000X | 71789 | GA | |
| Pain Medicine Physician | 208VP0000X | 51553 | SC | |
| Anesthesiology Physician | 207L00000X | 71789 | GA | Primary |
Addresses
Primary practice location
5353 Reynolds St
Savannah, GA 31405-6015
Mailing address
130 Philippi Church Rd
Prosperity, SC 29127-9555
Phone (864) 554-1966
Other practice location 1
5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3800
Other practice location 2
8 Prospect St
Nashua, NH 03060-3925
Phone (603) 577-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02334560 | Medicaid | MS | |
| 2394690 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MI, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of South Carolina School of Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2306 Wisteria Dr
Suite 100
Snellville, GA 30078-3561
Phone (770) 979-8200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71789 | GA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan III PLLC | Pain Medicine | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Georgia Group Services, LLC | Anesthesiology | Current | Accepting new patients |
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Anesthesiology | Current | Accepting new patients |
| Mak Anesthesia Georgia, LLC | Anesthesiology | Current | Accepting new patients |
| Georgia Group Services, LLC | Anesthesiology | Current | Accepting new patients |
| Floyd Healthcare Management Inc | Current | Accepting new patients |
Locations
1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
101 Saint Josephs Candler Dr
Pooler, GA 31322
Phone (912) 450-1945
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
330 Turner McCall Blvd SW
Ste 107
Rome, GA 30165
Phone (706) 509-6439
5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225
2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297
25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1609390103
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
dba Atrium Health Floyd Primary Care
- Family Medicine Physician
- Rome, GA
- NPI 1689610149
-
- Anesthesiology Physician
- Rome, GA
- NPI 1093947236
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI
-
dba Atrium Health Floyd Specialty Pharmacy
- Specialty Pharmacy
- Rome, GA
- NPI 1548056468
-
- Anesthesiology Physician
- Cedartown, GA
- NPI 1952704942
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1891923546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 PHILIPPI CHURCH RD",
"city": "PROSPERITY",
"state": "SC",
"postal_code": "291279555",
"telephone_number": "864-554-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 REYNOLDS ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056015",
"telephone_number": "912-819-6000"
}
],
"practiceLocations": [
{
"address_1": "5450 Fort St",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "MI",
"postal_code": "481834601",
"country_code": "US",
"telephone_number": "734-671-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8 Prospect St",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "030603925",
"country_code": "US",
"telephone_number": "603-577-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERLONG",
"first_name": "JASON",
"middle_name": "LANE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2023-09-08",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NH",
"license": "22503",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "51553",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301094817",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "LA",
"license": "MD.207659",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "SC",
"license": "51553",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "71789",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "SC",
"license": "51553",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "71789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02334560",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2394690",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.
- 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.