Jesse Long · 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337 · Nurse Practitioner · Prisma Health University Medical Group (2024)

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 NamePrimary SpecialtyOrganization Legal NameAddress
Jesse Long Physical TherapyMissoula Bone and Joint, LLC2360 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 NamePrimary SpecialtyOrganization Legal NameAddress
Joseph Anthony Decosmo Family PracticePrisma Health University Medical Group1409 W Georgia Rd, Suite B, Simpsonville, SC 29680-6420
Rachael Mazzamurro Obstetrics/GynecologyPrisma Health University Medical Group101 Halton Rd, Greenville, SC 29607-3507
Elizabeth Erin Kelly Nurse PractitionerPrisma Health University Medical Group1351 Crestview Rd, Easley, SC 29642-2408
Jaime Cozier Nurse PractitionerPrisma Health University Medical Group298 Memorial Dr, Seneca, SC 29672-9443
Jordan Elizabeth Ponder Nurse PractitionerPrisma Health University Medical Group109 Doctors Dr, Greenville, SC 29605-5608
Lara Hewett Diagnostic RadiologyPrisma Health University Medical Group1519 Marion St, Columbia, SC 29201-2910
Melicia Ivette Tanner Mental Health CounselorPrisma Health University Medical Group139 Lila Doyle Dr, Seneca, SC 29672-9495
Sierra Dawn Vanderkelen Family PracticePrisma Health University Medical Group215 Halton Rd, Greenville, SC 29607-3509
Madeline Lucas Physician AssistantPrisma Health University Medical Group210 Freeman Farm Rd, Duncan, SC 29334-9398
Samuel Ryan Faught Radiation OncologyPrisma Health University Medical Group900 W Faris Rd, Greenville, SC 29605-4255
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Location Information

Street Address 200 PATEWOOD DR
SUITE B350
City GREENVILLE
State SC
Zip Code 29615-6337

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Cintia Cristine Ely Silva Benner Physical TherapyGreenville Proaxis Therapy LLC200 Patewood Dr, Suite C250, Greenville, SC 29615-3593
Louie Joseph Scalise Nurse PractitionerPrisma Health University Medical Group200 Patewood Dr, Suite B300, Greenville, SC 29615-6338
Cameron James Holshouser Physical TherapyGreenville Proaxis Therapy LLC200 Patewood Dr, C150, Greenville, SC 29615-6323
John Jordan Melchert NeurologyPrisma Health University Medical Group200 Patewood Dr, Suite B350, Greenville, SC 29615-6337
Lindsey Hope Hudson Nurse PractitionerPrisma Health University Medical Group200 Patewood Dr, Suite B350, Greenville, SC 29615-6337
Marisa Ferguson Physical TherapyGreenville Proaxis Therapy LLC200 Patewood Dr, Suite C250, Greenville, SC 29615-3593
Nicholas Harrison Fuerst Pulmonary DiseasePrisma Health University Medical Group200 Patewood Dr, Suite B300, Greenville, SC 29615-6338
Samuel Lee Dickey Pulmonary DiseasePrisma Health University Medical Group200 Patewood Dr, Suite B300, Greenville, SC 29615-6338
Adam Ross Schertz Pulmonary DiseasePrisma Health University Medical Group200 Patewood Dr, Suite B300, Greenville, SC 29615-6338
Miesty Woodburn NeurologyPrisma Health University Medical Group200 Patewood Dr, Suite B350, Greenville, SC 29615-6337
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Jeremy R Wilson ChiropracticSuperior Healthcare Physical Medicine of Greenville Inc2520 Wade Hampton Boulevard, Suite B, Greenville, SC 29615-1178
Pamela M Mills Nurse PractitionerSuperior Healthcare Physical Medicine of Greenville Inc2520 Wade Hampton Boulevard, Suite B, Greenville, SC 29615-1178
James E Wallace Family PracticeSpartanburg Medical Center12 Arborland Way, Greenville, SC 29615-2201
Reginald R Brannen ChiropracticCarter Chiropractic Center LLC2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172
James Alexander General PracticeExigent Inc2310 Wade Hampton Blvd, Greenville, SC 29615-1043
Michelle Jones-Moon Family PracticeSpartanburg Medical Center12 Arborland Way, Greenville, SC 29615-2201
Ryan Seldon Ford ChiropracticSuperior Healthcare Physical Medicine of Greenville Inc2520 Wade Hampton Boulevard, Suite B, Greenville, SC 29615-1178
Jessica Lynn Pollard Family PracticeSpartanburg Medical Center12 Arborland Way, Greenville, SC 29615-2201
Benjamin Giebell ChiropracticSuperior Healthcare Physical Medicine of Greenville Inc2520 Wade Hampton Boulevard, Suite B, Greenville, SC 29615-1178
Marcella V Young Internal Medicine540 Old Howell Rd B, Greenville, SC 29615-1969
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Jesse C Mer Diagnostic RadiologyCentral Illinois Radiological Associates Ltd111 Oakwood Rd, East Peoria, IL 61611-1853
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Jesse J Xie GastroenterologySentara Medical Group1031 Loftis Blvd, Suite 201, Newport News, VA 23606-2981
Jesse Ong Tan PsychiatryCenter for Adult Psychiatry LLC1540 Citrus Medical Ct, Ocoee, FL 34761-4547
Jesse J Liu NeurosurgeryOregon Health and Sciences University/University Medical Group3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
Jesse K Liu GastroenterologyKaiser Foundation Health Plan of The Mid-Atlantic States,Inc1221 Mercantile Ln, Largo, MD 20774-5374
Jesse B. Mez NeurologyBoston University Neurology Associates Inc1 Boston Medical Ctr Pl, Boston, MA 02118-2908
Jesse Lee Hematology/OncologyPhysicians East Pa1850 W Arlington Blvd, Greenville, NC 27834-5704
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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.

Jesse Long · 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337 · Nurse Practitioner · Prisma Health University Medical Group (2024)

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