Medicare Doctors and Clinicians
8644544500 · Nurse Practitioner · 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337
Overview
Jesse Long is a nurse practitioner enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is PRISMA HEALTH UNIVERSITY MEDICAL GROUP. The business address is 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337. Published on May 24, 2023.
Enrollment Information
NPI | 1730884313 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
PAC ID | 0749646305 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
Professional Enrollment ID | I20230524000824 |
Full Name | JESSE LONG |
Gender | M |
Graduation Year | 2022 |
Primary Specialty | NURSE PRACTITIONER |
Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
Group Practice PAC ID | 8325950983 |
Number of Group Practice Members | 2195 |
Address | 200 Patewood Dr Suite B350 Greenville SC 29615-6337 |
Telephone | 8644544500 |
Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Provider Overview
NPI | 1730884313 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
Provider Name | JESSE LONG |
Address | 200 Patewood Dr Ste B350 Greenville SC 29615-6337 |
Taxonomy Code | 363LF0000X |
Enumeration Date | 2023-04-03 |
Doctors with the same name
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Jesse Long | Physical Therapy | Missoula Bone and Joint, LLC | 2360 Mullan Rd, Suite C, Missoula, MT 59808-1811 |
Organization Information
Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
Address | 200 Patewood Dr Suite B350 Greenville SC 29615-6337 |
Telephone | 8644544500 |
Doctors with the same organization
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Elizabeth Erin Kelly | Nurse Practitioner | Prisma Health University Medical Group | 1351 Crestview Rd, Easley, SC 29642-2408 |
Nicole Ann Larche | Certified Nurse Midwife (Cnm) | Prisma Health University Medical Group | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4281 |
Emily Suzanne Nyers | Dermatology | Prisma Health University Medical Group | 920 Woodruff Rd, Greenville, SC 29607-4105 |
Rachael Mazzamurro | Obstetrics/Gynecology | Prisma Health University Medical Group | 101 Halton Rd, Greenville, SC 29607-3507 |
Samuel Ryan Faught | Radiation Oncology | Prisma Health University Medical Group | 900 W Faris Rd, Greenville, SC 29605-4255 |
Melicia Ivette Tanner | Mental Health Counselor | Prisma Health University Medical Group | 139 Lila Doyle Dr, Seneca, SC 29672-9495 |
Joseph Paul Flynn | Hospitalist | Prisma Health University Medical Group | 701 Grove Rd, Suite 5, Greenville, SC 29605-4210 |
Shawna Schmidt | Certified Registered Nurse Anesthetist (Crna) | Prisma Health University Medical Group | 7 Independence Pt, Suite 300, Greenville, SC 29615-4569 |
Jordan Elizabeth Ponder | Nurse Practitioner | Prisma Health University Medical Group | 109 Doctors Dr, Greenville, SC 29605-5608 |
Madeline Lucas | Physician Assistant | Prisma Health University Medical Group | 210 Freeman Farm Rd, Duncan, SC 29334-9398 |
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Location Information
Street Address | 200 PATEWOOD DR SUITE B350 |
City | GREENVILLE |
State | SC |
Zip Code | 29615-6337 |
Doctors in the same location
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Rachel Ann Parr | Vascular Surgery | Prisma Health University Medical Group | 200 Patewood Dr, Suite A300, Greenville, SC 29615-6303 |
Niall O'Brien | Physical Therapy | Greenville Proaxis Therapy LLC | 200 Patewood Dr, C150, Greenville, SC 29615-6323 |
Thomas Higgins Gann Jr. | Neurology | Prisma Health University Medical Group | 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337 |
Amber Marie Stutz | Neurology | Prisma Health University Medical Group | 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337 |
Hemanth G Pasupuleti | Neurology | Prisma Health University Medical Group | 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337 |
Cintia Cristine Ely Silva Benner | Physical Therapy | Greenville Proaxis Therapy LLC | 200 Patewood Dr, Suite C250, Greenville, SC 29615-3593 |
Miesty Woodburn | Neurology | Prisma Health University Medical Group | 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337 |
Cameron James Holshouser | Physical Therapy | Greenville Proaxis Therapy LLC | 200 Patewood Dr, C150, Greenville, SC 29615-6323 |
Adam Ross Schertz | Pulmonary Disease | Prisma Health University Medical Group | 200 Patewood Dr, Suite B300, Greenville, SC 29615-6338 |
Marisa Ferguson | Physical Therapy | Greenville Proaxis Therapy LLC | 200 Patewood Dr, Suite C250, Greenville, SC 29615-3593 |
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Doctors in the same zip code
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Reginald R Brannen | Chiropractic | Carter Chiropractic Center LLC | 2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172 |
Marcella V Young | Internal Medicine | 540 Old Howell Rd B, Greenville, SC 29615-1969 | |
Ryan Seldon Ford | Chiropractic | Superior Healthcare Physical Medicine of Greenville Inc | 2520 Wade Hampton Boulevard, Suite B, Greenville, SC 29615-1178 |
Pamela M Mills | Nurse Practitioner | Superior Healthcare Physical Medicine of Greenville Inc | 2520 Wade Hampton Boulevard, Suite B, Greenville, SC 29615-1178 |
Matthew Allen Huey | Chiropractic | Superior Healthcare Physical Medicine of Greenville Inc | 2520 Wade Hampton Blvd, Suite B, Greenville, SC 29615-1178 |
James L Bridgeman | Family Practice | Spartanburg Medical Center | 12 Arborland Way, Greenville, SC 29615-2201 |
Leonard Clay Carter | Chiropractic | Carter Chiropractic Center LLC | 2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172 |
Benjamin Giebell | Chiropractic | Superior Healthcare Physical Medicine of Greenville Inc | 2520 Wade Hampton Boulevard, Suite B, Greenville, SC 29615-1178 |
James E Wallace | Family Practice | Spartanburg Medical Center | 12 Arborland Way, Greenville, SC 29615-2201 |
Shiv T Mehta | Podiatry | Greenville Podiatry Associates Pa | 5 Arborland Way, Greenville, SC 29615-2201 |
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Jesse C Mer | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
Jesse Vos | Physician Assistant | North Pacific Dermatology A Medical Corporation | 4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586 |
Jesse N Fox | Pediatric Medicine | Ihc Health Services Inc | 700 S Hwy 99 3, Fillmore, UT 84631-5137 |
Jesse K Liu | Gastroenterology | Kaiser Foundation Health Plan of The Mid-Atlantic States,Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
Jesse J Twu | Nurse Practitioner | Utah Regional Hospitalists LLC | 840 E Elva St, Idaho Falls, ID 83401-2801 |
Jesse Kar Kit Ng | Physical Therapy | Select Cs Physical Therapy PC | 6801 Park Ter, Suite 200, Los Angeles, CA 90045-1546 |
Jesse H Kim | Emergency Medicine | Northwest Emergency Physicians LLC | 34515 9th Ave S, Federal Way, WA 98003-6761 |
Jesse B. Mez | Neurology | Boston University Neurology Associates Inc | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 |
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Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.