BILLY W LONG


Address: 1421 N State St, Suite 203, Jackson, MS 39202-1658
Phone: 6013551234

BILLY W LONG (NPI# 1649268822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649268822
Entity Type Individual
Full Name BILLY W LONG
Credential MD
Practice Address 1421 N State St
Suite 203
Jackson
MS 39202-1658
Practice Telephone 6013551234
Practice Fax Number 6013543881
Mailing Telephone 6013551234
Mailing Fax Number 6013543881
Enumeration Date 2005-10-11
Last Update Date 2008-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
06744 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00115725 05

Other Providers BILLY LONG

NPI Name Taxonomy Address Enumeration
1679627459 Billy Mikel Long Chiropractor 24007 Ventura Blvd, Suite 130, Calabasas, CA 91302-2568 2007-01-22

Office Location

Street Address 1421 N STATE ST
SUITE 203
City JACKSON
State MS
Zip Code 39202-1658

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396011458 Fresenius Medical Care Sw Jackson Home, LLC Clinic/Center 1421 N State St, Suite 501, Jackson, MS 39202-1658 2012-03-22
1730480286 Melissa Jones Registered Nurse 1421 N State St, Suite 403, Jackson, MS 39202-1658 2010-11-14
1710288410 Kerex LLC Durable Medical Equipment & Medical Supplies 1421 N State St, 505, Jackson, MS 39202-1658 2010-11-11
1144532391 Mark Runnels Urology 1421 N State St, Ste 403, Jackson, MS 39202-1658 2010-07-03
1790911048 Specialty Anesthesia LLC Nurse Anesthetist, Certified Registered 1421 N State St, Suite 203, Jackson, MS 39202-1658 2009-06-01
1881849651 Mary K Gravel Nurse Anesthetist, Certified Registered 1421 N State St, Suite 203, Jackson, MS 39202-1658 2008-11-20
1609043363 Catherine B. Ramsey Nurse Anesthetist, Certified Registered 1421 N State St, Suite 203, Jackson, MS 39202-1658 2008-05-13
1427230168 Fred L Mcmillan, Md, Pllc Ophthalmology 1421 N State St, Suite 503, Jackson, MS 39202-1658 2007-12-05
1679769491 Allen Mcneil Haraway Urology 1421 N State St, Suite 400, Jackson, MS 39202-1658 2007-09-16
1528263936 John Donald Adams Jr. Urology 1421 N State St, Suite 403, Jackson, MS 39202-1658 2007-06-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902374085 St. Dominic Medical Associates LLC Internal Medicine 970 Lakeland Dr Ste 43, Jackson, MS 39216-4634 2018-11-07
1740353515 Deborah S. Skelton Internal Medicine 971 Lakeland Dr Ste 1160, Jackson, MS 39216-4609 2006-11-17
1679657860 Shanti Siddiqui Internal Medicine 609 New York Ranch Rd, Jackson, CA 95642-9328 2006-10-24
1598708752 Nadeem Ullah Md Internal Medicine 720 W Franklin, Suite 2, Jackson, MI 49201-1676 2006-06-14
1477525103 Babu V Rao Internal Medicine 241 Stonebridge Blvd, Jackson, TN 38305-2179 2006-02-06
1447249354 Gastrointestinal Endoscopy Center Internal Medicine 1405 N State St, Suite 300, Jackson, MS 39202-1642 2005-10-14
1700873056 Allan M Menachem Internal Medicine 9 Physicians Dr, Jackson, TN 38305-2071 2005-10-03
1376549816 John Joseph Sheehan Jr. Internal Medicine 2500 North State Street, Department of Medicine Division of Digestive Disease, Jackson, MS 39216-4500 2005-06-21
1326585522 W.a. Foote Memorial Hospital, Inc Internal Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-25
1730418831 Nadeem Ullah Md Plc Internal Medicine 720 W Franklin St, Unit 2, Jackson, MI 49201-1674 2009-12-18
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39202

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Dataset Information

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.

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