DR. EUGENE MITCHELL LONG III (NPI# 1477996965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477996965 |
| Entity Type | Individual |
| Full Name | DR. EUGENE MITCHELL LONG III |
| Credential | M.D. |
| Practice Address |
3696 Wheeler Rd Augusta GA 30909 |
| Mailing Address |
3696 Wheeler Rd Augusta GA 30909-6520 |
| Practice Telephone | 7068317620 |
| Mailing Telephone | 7068317620 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 24457 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 N State St, Jackson, MS 392164500 | 6019845615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356636179 | Eugene Long | Rehabilitation Practitioner | 3674 N Rancho Dr, Las Vegas, NV 89130-3110 | 2011-06-09 |
| 1073511192 | Eugene Long | Radiology | 3018 Hamill Rd, Hixson, TN 37343 | 2005-07-12 |
| Street Address |
3696 WHEELER RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703193 | Richard Harris Bromer | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-07-12 |
| 1255930806 | Nicole Paige Wolbert | Nurse Practitioner | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2020-10-23 |
| 1013539907 | Kristen Rogers Bradley | Nurse Practitioner | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2020-05-13 |
| 1093234791 | Shannon Lynn Egan | Physician Assistant | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2017-09-13 |
| 1205384880 | Stacey M. Perry | Physician Assistant | 3696 Wheeler Rd, Augusta, GA 30909 | 2016-09-13 |
| 1710182605 | Aaron W Flanders | Internal Medicine | 3696 Wheeler Rd, Augusta, GA 30909 | 2007-06-19 |
| 1912917824 | Augusta Oncology Associates, P.C. | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2006-08-09 |
| 1649257890 | Miriam Yvette Atkins | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-12-29 |
| 1700863438 | John Kennison Hudson | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-12-23 |
| 1376520148 | David Ronald Squires | Specialist | 3696 Wheeler Rd, Augusta, GA 30909-6520 | 2005-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380842 | David Reynolds Cromer | Internal Medicine | 528 Walden Hills Ct, Augusta, GA 30909-0225 | 2020-06-12 |
| 1114542305 | Graham Skelton | Internal Medicine | 1480 Wrightsboro Rd Apt 6104, Augusta, GA 30901-3274 | 2020-06-12 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1467015628 | Adam Nikolas Davis | Internal Medicine | 1120 5th St, Augusta, GA 30912-0001 | 2019-04-15 |
| 1528621661 | Chadwick Scott Fitzgerald | Internal Medicine | 1459 Laney Walker Blvd Ste Ae3042, Augusta, GA 30912-0002 | 2019-04-15 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1326501560 | Awlad Hossain Bhuiyan | Internal Medicine | 120 15th St, Augusta, GA 30912-0001 | 2019-04-12 |
| 1033601315 | Mohammad Umair Azam | Internal Medicine | 1120 15th St # Bi5070, Augusta, GA 30912-0004 | 2018-06-03 |
| 1942732334 | Jennifer Espinal | Internal Medicine | 3651 Wheeler Rd Ofc, Augusta, GA 30909-6521 | 2017-04-03 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
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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.