Individual provider Active NPI

Carol Sue Long, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1932258274
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN063853 Issued in GA
Practice address
1584 Anita PL NE
Atlanta, GA 30306-2202
Phone
(404) 271-7663
Fax
(678) 535-0983
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN063853 GA Primary

Addresses

Primary practice location

1584 Anita PL NE
Atlanta, GA 30306-2202

Mailing address

1584 Anita PL NE
Atlanta, GA 30306-2202
Phone (404) 271-7663

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130821000273 GA Practitioner - Nurse Practitioner 8820231947 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3915 Miles Way
Cumming, GA 30040-1719
Phone (678) 577-1421

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Physicians Services, LLC Family CurrentSince Aug 7, 2019 Accepting new patients
Pingeton Consulting Service, Inc Family CurrentSince Feb 1, 2025 Accepting new patients
Resurgia Health Solutions PC CurrentSince Mar 8, 2022 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Oct 28, 2022 Accepting new patients

Locations

1100 Peachtree St NE
Ste 200
Atlanta, GA 30309
Phone (404) 445-5304

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1932258274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 ANITA PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062202",
            "telephone_number": "404-271-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 ANITA PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062202",
            "telephone_number": "404-271-7663",
            "fax_number": "678-535-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CAROL",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN063853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.