Kathleen Marie Long, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1006 Issued in AL

Practice address

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758

Phone

(251) 340-6858

NPI assigned

Aug 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Barker Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Physician Assistant

Education

University of South Alabama College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saad Healthcare Home health agency, Mobile, AL, CCN 017025
• USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.long.1@16253.direct.athenahealth.com

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.

• USA Health Community Providers LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1801571823
  Medicare reassignment Care Compare group
• Cardiology Associates of Mobile Inc

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1861666711
  Medicare reassignment NPD
• Alabama Providence Healthcare Services

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1245669514
  Medicare reassignment
• Inpatient Consultants of Alabama, Inc

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1235238916
  Medicare reassignment
• Alabama Providence Healthcare Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1609446087
  NPD
• Providence Healthcare Services

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508878083
  NPD

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

• Saad Enterprises, Inc.

  • Home Health Agency
  • Mobile, AL
  • NPI 1265718969
  Care Compare affiliation
• USA Health HCA Providence Hospital LLC

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1992489223
  Care Compare affiliation

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1982003885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PINEHILL DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061807",
            "telephone_number": "251-209-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-340-6858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 University Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172300",
            "country_code": "US",
            "telephone_number": "251-471-7000",
            "fax_number": "251-471-7096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BARKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Brad Long, PHARM D
• Cameron M Long, CRNP
• Frank H Long, M.D.
• Hayden Long, MD
• Katherine Knoll Long
• Kristy Marie Long, RPH
• Lauren Long, LCSW
• Loren Long, RD
• Sammie I. Long, MD
• Scott Clarke Long, PA

• Physician Assistant in Mobile, AL
• Providers in Mobile, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.

Verify at the official NPI Registry.