Active NPI
Mary Ingram Long, MD
- Internal Medicine Physician
- Natchitoches, LA
National Provider Identifier
1972500221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 022285
- Practice address
- 114 E 5TH St
Natchitoches, LA 71457-5725 - Phone
- (318) 354-9348
- Fax
- (318) 354-9269
- NPI assigned
- Jul 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 022285 | LA | Primary |
Addresses
Primary practice location
114 E 5TH St
Natchitoches, LA 71457-5725
Mailing address
114 E 5TH St
Natchitoches, LA 71457-5725
Phone (318) 354-9348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1494666 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
114 E 5TH St
Natchitoches, LA 71457-5725
Phone (314) 354-9348
Hospital & facility affiliations
- Centerwell Home Health
- Hand in Hand Hospice Care, LLC
- Natchitoches Regional Medical Center
- Christus Shreveport-Bossier Health System
- Rapides Regional Medical Center
- Willis Knighton Medical Center
- Christus St Frances Cabrini Hospital
- Louisiana Extended Care Hospital of Natchitoches
- Courtyard of Natchitoches
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022285 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C Michelle Mayeux a Professional Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Mary Ingram Long a Professional Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Natchitoches Parish Hospital Service District | Past | Accepting new patients |
Locations
114 E 5th St
Natchitoches, LA 71457
Phone (314) 354-9348
Interoperability endpoints
- mary.long@direct.la-hie.org
- mil@ingram-medical.amazing-direct.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Natchitoches, LA
- NPI 1932425337
-
- Internal Medicine Physician
- Natchitoches, LA
- NPI 1427374685
-
- Skilled Nursing Facility
- Natchitoches, LA
- NPI 1194895870
Hospital & facility affiliations 37
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1972500221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E 5TH ST",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714575725",
"telephone_number": "318-354-9348",
"fax_number": "318-354-9269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E 5TH ST",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714575725",
"telephone_number": "318-354-9348",
"fax_number": "318-354-9269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "MARY",
"middle_name": "INGRAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "022285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1494666",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Natchitoches, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.