MR. JEFFREY NEIL LONGENECKER (NPI# 1609024140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609024140 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY NEIL LONGENECKER |
| Credential | PA-C |
| Practice Address |
1114 W Madison Ave Athens TN 37303-4150 |
| Mailing Address |
5016 Lewis Rd Mc Donald TN 37353-4069 |
| Practice Telephone | 4237443308 |
| Practice Fax Number | 4237443495 |
| Mailing Telephone | 6158293949 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1655 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1655 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3665294 | 05 | |
| TN | BCBS | 4204068 | 01 |
| TN | BSBS | 4204066 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2400 Patterson St, Suite 300, Nashville, TN 372031562 | 6153426300 | 6153426350 |
| 9400 Rhea County Hwy, Dayton, TN 373217922 | 4237751121 |
| Street Address |
1114 W MADISON AVE |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214156 | Kenneth Rand Lamm | Pathology | 1114 W Madison Ave, Athens, TN 37303-4150 | 2005-09-06 |
| 1659998425 | Ryan Matthew Bellomy | Nurse Practitioner | 1114 W Madison Ave, Athens, TN 37303-4150 | 2020-06-28 |
| 1437631967 | Aashna Pandya | Physician Assistant | 1114 W Madison Ave, Athens, TN 37303-4150 | 2018-08-31 |
| 1467901058 | Lori Younce | Nurse Practitioner | 1114 W Madison Ave, Athens, TN 37303-4150 | 2016-09-24 |
| 1710330659 | Andrea R Perkins | Physician Assistant | 1114 W Madison Ave, Athens, TN 37303-4150 | 2016-07-15 |
| 1851776710 | John T Wier | Registered Nurse | 1114 W Madison Ave, Athens, TN 37303-4150 | 2015-07-21 |
| 1578968566 | Heather Woods | Nurse Practitioner | 1114 W Madison Ave, Athens, TN 37303-4150 | 2014-11-03 |
| 1346678430 | Athens Regional Medical Center LLC | Psychiatric Unit | 1114 W Madison Ave, Athens, TN 37303-4150 | 2013-10-29 |
| 1578907010 | Benjamin Wilson Kendrick | Physician Assistant | 1114 W Madison Ave, Athens, TN 37303-4150 | 2013-04-27 |
| 1194030809 | Brandon Wells Watson | Physician Assistant | 1114 W Madison Ave, Athens, TN 37303-4150 | 2010-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887885 | Rachel B Rigsby | Physician Assistant | 22454 Us Highway 72 Ste 200, Athens, AL 35613-2609 | 2018-10-19 |
| 1588139349 | Lauren M Sheffield | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2018-10-09 |
| 1164858650 | Tiago Poleselli Bruniera | Physician Assistant | 1199 Prince Ave Fl 2, Athens, GA 30606 | 2013-09-17 |
| 1639329402 | Adam Marc Simpson | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2008-09-29 |
| 1801878137 | Joseph Kilzi | Physician Assistant | 1500 Oglethorpe Ave Ste 500b, Athens, GA 30606 | 2005-11-14 |
| 1053776732 | Lisa Bartlow | Physician Assistant | 195 King Ave, Athens, GA 30606-6736 | 2015-12-22 |
| 1356770721 | Kathryn M Bernens | Physician Assistant | 2 Health Center Dr, Athens, OH 45701-2907 | 2013-11-06 |
| 1063642296 | Natalie Kessler Moseley | Physician Assistant | 1010 Prince Ave, Suite 115 South, Athens, GA 30606-5805 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987446 | Caleb Stephens | Physician Assistant | 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 | 2020-06-17 |
| 1609308246 | Robert Bryan Whisenhunt | Physician Assistant | Po Box 205, Tullahoma, TN 37388-0205 | 2017-04-02 |
| 1841744331 | Jessica Leigh Cochran | Physician Assistant | 188 16th Ave Ste 107, Dayton, TN 37321-1037 | 2016-08-12 |
| 1841690096 | Arun Alex | Physician Assistant | 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 | 2014-08-25 |
| 1174932107 | Stephen Steffey | Physician Assistant | 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 | 2014-08-04 |
| 1932450301 | Martha Pamela Guel | Physician Assistant | 2681 Honey Hill Rd, Knoxville, TN 37924-1159 | 2012-09-26 |
| 1912296468 | Richard Terry Washington Jr. | Physician Assistant | 5108 Singing Hills Dr, Antioch, TN 37013-5694 | 2011-04-05 |
| 1578889549 | Caryn Louise Mohr | Physician Assistant | 1635 Kimbrough Park Pl, Germantown, TN 38138-2306 | 2010-04-14 |
| 1578895546 | Carl H. Harris | Physician Assistant | 6946 Finch Rd, Memphis, TN 38141-8598 | 2010-02-02 |
| 1144463936 | Marcus S. Burns | Physician Assistant | 2010 Church St Ste 700, Nashville, TN 37203-2072 | 2009-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JEFFREY NEIL LONGENECKER.
| 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.