William H Long LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD23196 Issued in SC

Legal business name

WILLIAM H LONG LLC

Doing business as

Long Family Practice LLC

Practice address

420A W Carolina Ave
Hartsville, SC 29550

Phone

(803) 968-2066

Fax

(843) 639-8145

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

William H Long III, MD

Title

Physician

Phone

(803) 968-2066

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Long Family Practice LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Conway Ropp III, M.D.

  • Family Medicine Physician
  • Hartsville, SC
  • NPI 1922037191
  NPD

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1902347677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420A W CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504524",
            "telephone_number": "803-968-2066",
            "fax_number": "843-639-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420A W CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "29550",
            "telephone_number": "803-968-2066",
            "fax_number": "843-639-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H LONG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-968-2066",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD23196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8306",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Family Practice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Kenneth Wheeler
• Brandy Hulsey White, MCD CCC-SLP
• Vedia Goodson White, RN
• Brianna Wilds, BS
• Antoryia Wilkins, M.A
• Amy Weir Williams, FNP
• Sara Winburn, DC
• Mikaylah Kiara Wingate
• Tracie Mixon Woodward, NP
• Heather Michelle Worsham, PNP

• Family Medicine Physician in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.