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 |
---|---|---|---|
Joseph Anthony Decosmo | Family Practice | Prisma Health University Medical Group | 1409 W Georgia Rd, Suite B, Simpsonville, SC 29680-6420 |
Rachael Mazzamurro | Obstetrics/Gynecology | Prisma Health University Medical Group | 101 Halton Rd, Greenville, SC 29607-3507 |
Elizabeth Erin Kelly | Nurse Practitioner | Prisma Health University Medical Group | 1351 Crestview Rd, Easley, SC 29642-2408 |
Jaime Cozier | Nurse Practitioner | Prisma Health University Medical Group | 298 Memorial Dr, Seneca, SC 29672-9443 |
Jordan Elizabeth Ponder | Nurse Practitioner | Prisma Health University Medical Group | 109 Doctors Dr, Greenville, SC 29605-5608 |
Lara Hewett | Diagnostic Radiology | Prisma Health University Medical Group | 1519 Marion St, Columbia, SC 29201-2910 |
Melicia Ivette Tanner | Mental Health Counselor | Prisma Health University Medical Group | 139 Lila Doyle Dr, Seneca, SC 29672-9495 |
Sierra Dawn Vanderkelen | Family Practice | Prisma Health University Medical Group | 215 Halton Rd, Greenville, SC 29607-3509 |
Madeline Lucas | Physician Assistant | Prisma Health University Medical Group | 210 Freeman Farm Rd, Duncan, SC 29334-9398 |
Samuel Ryan Faught | Radiation Oncology | Prisma Health University Medical Group | 900 W Faris Rd, Greenville, SC 29605-4255 |
Find all doctors with the same organization |
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 |
---|---|---|---|
Cintia Cristine Ely Silva Benner | Physical Therapy | Greenville Proaxis Therapy LLC | 200 Patewood Dr, Suite C250, Greenville, SC 29615-3593 |
Louie Joseph Scalise | Nurse Practitioner | Prisma Health University Medical Group | 200 Patewood Dr, Suite B300, Greenville, SC 29615-6338 |
Cameron James Holshouser | Physical Therapy | Greenville Proaxis Therapy LLC | 200 Patewood Dr, C150, Greenville, SC 29615-6323 |
John Jordan Melchert | Neurology | Prisma Health University Medical Group | 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337 |
Lindsey Hope Hudson | Nurse Practitioner | Prisma Health University Medical Group | 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337 |
Marisa Ferguson | Physical Therapy | Greenville Proaxis Therapy LLC | 200 Patewood Dr, Suite C250, Greenville, SC 29615-3593 |
Nicholas Harrison Fuerst | Pulmonary Disease | Prisma Health University Medical Group | 200 Patewood Dr, Suite B300, Greenville, SC 29615-6338 |
Samuel Lee Dickey | Pulmonary Disease | Prisma Health University Medical Group | 200 Patewood Dr, Suite B300, Greenville, SC 29615-6338 |
Adam Ross Schertz | Pulmonary Disease | Prisma Health University Medical Group | 200 Patewood Dr, Suite B300, Greenville, SC 29615-6338 |
Miesty Woodburn | Neurology | Prisma Health University Medical Group | 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337 |
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Doctors in the same zip code
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Jeremy R Wilson | 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 |
James E Wallace | Family Practice | Spartanburg Medical Center | 12 Arborland Way, Greenville, SC 29615-2201 |
Reginald R Brannen | Chiropractic | Carter Chiropractic Center LLC | 2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172 |
James Alexander | General Practice | Exigent Inc | 2310 Wade Hampton Blvd, Greenville, SC 29615-1043 |
Michelle Jones-Moon | Family Practice | Spartanburg Medical Center | 12 Arborland Way, Greenville, SC 29615-2201 |
Ryan Seldon Ford | Chiropractic | Superior Healthcare Physical Medicine of Greenville Inc | 2520 Wade Hampton Boulevard, Suite B, Greenville, SC 29615-1178 |
Jessica Lynn Pollard | Family Practice | Spartanburg Medical Center | 12 Arborland Way, Greenville, SC 29615-2201 |
Benjamin Giebell | Chiropractic | Superior Healthcare Physical Medicine of Greenville Inc | 2520 Wade Hampton Boulevard, Suite B, Greenville, SC 29615-1178 |
Marcella V Young | Internal Medicine | 540 Old Howell Rd B, Greenville, SC 29615-1969 | |
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Ann M Jesse | Nurse Practitioner | El Paso County Hospital District | 4815 Alameda Ave, El Paso, TX 79905-2705 |
Jesse C Mer | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
Jesse Thi Mai | Nurse Practitioner | 9315 W Sunset Rd, Suite 100, Las Vegas, NV 89148-5012 | |
Jesse J Xie | Gastroenterology | Sentara Medical Group | 1031 Loftis Blvd, Suite 201, Newport News, VA 23606-2981 |
Jesse Ong Tan | Psychiatry | Center for Adult Psychiatry LLC | 1540 Citrus Medical Ct, Ocoee, FL 34761-4547 |
Jesse J Liu | Neurosurgery | Oregon Health and Sciences University/University Medical Group | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 |
Jesse K Liu | Gastroenterology | Kaiser Foundation Health Plan of The Mid-Atlantic States,Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
Jesse B. Mez | Neurology | Boston University Neurology Associates Inc | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 |
Jesse Lee | Hematology/Oncology | Physicians East Pa | 1850 W Arlington Blvd, Greenville, NC 27834-5704 |
Jesse Lee Even | Orthopedic Surgery | Tmi Sports Medicine and Orthopedic Surgery Pa | 3533 Matlock Rd, Arlington, TX 76015-3604 |
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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.