Individual provider Active NPI

Paul McCrary Long, M.D.

  • Internal Medicine Physician
  • Hilton Head Island, SC
National Provider Identifier
1982798849
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8178 Issued in SC
Practice address
89 Main St
Hilton Head Island, SC 29926-6613
Phone
(843) 681-5305
Fax
(843) 689-5210
NPI assigned
Oct 3, 2006
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8178 SC Primary

Addresses

Primary practice location

89 Main St
Hilton Head Island, SC 29926-6613

Mailing address

89 Main St
Hilton Head Island, SC 29926-6613
Phone (843) 681-5305

Other identifiers 1

IdentifierTypeStateIssuer
081789MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000632 SC Practitioner - Internal Medicine 7911801865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.46 of 100Reported as individual
Quality
65.92
Promoting interoperability
84
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8178SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Concierge MD Internal Medicine CurrentSince Jul 5, 2015 Accepting new patients
Dr. Thomas P Lenns, LLC Internal Medicine PastSince Aug 1, 2015 Accepting new patients

Locations

89 Main St
Hilton Head Island, SC 29926
Phone (843) 681-5305

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9658/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1982798849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266613",
            "telephone_number": "843-681-5305",
            "fax_number": "843-689-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266613",
            "telephone_number": "843-681-5305",
            "fax_number": "843-689-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PAUL",
        "middle_name": "MCCRARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "8178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081789",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.