MRS. MISTY PERRY LONG (NPI# 1144374638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144374638 |
| Entity Type | Individual |
| Full Name | MRS. MISTY PERRY LONG |
| Credential | NP-C |
| Practice Address |
3720 Davinci Ct Suite 400 Norcross GA 30092-7627 |
| Mailing Address |
140 Hillbrooke Ct Macon GA 31210-1689 |
| Practice Telephone | 7703003502 |
| Mailing Telephone | 4787579779 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN149348 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144493917 | Misty Aja Long | Counselor | 726 Wick Ave, Youngstown, OH 44505-2827 | 2008-04-11 |
| Street Address |
3720 DAVINCI CT SUITE 400 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-7627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528048238 | Grace Koucheravy | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2006-01-19 |
| 1326598681 | Compassus Op of Georgia I LLC | Hospice Care, Community Based | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2016-10-11 |
| 1174911358 | Rakeisha Nichole Franklin | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2014-12-23 |
| 1770903023 | Mary Perloe | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2014-04-24 |
| 1477970549 | Kami Bonner Pugh | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2014-03-26 |
| 1124467873 | Janeen Renee Cook | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2013-06-17 |
| 1326486168 | Lorie S. Delk and Associates, Inc. | Speech-Language Pathologist | 3720 Davinci Ct, Suite 250, Norcross, GA 30092-7627 | 2013-06-13 |
| 1437493277 | Chad Harlin | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2012-11-16 |
| 1114202207 | Lora Elizabeth Crowe | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2011-10-20 |
| 1982903902 | Lacey Nicole Stevens | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2011-03-16 |
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| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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|---|---|---|---|---|
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| 1740612985 | Amy Carmichael Maresca | Nurse Practitioner | 4356 Communications Dr, Norcross, GA 30093-2901 | 2013-07-30 |
| 1902165954 | Catherine Elizabeth Schempp | Nurse Practitioner | 5985 Peachtree Parkway, Norcross, GA 30092 | 2012-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.