CANDICE LEANN LONG (ARNP) – Family Nurse Practitioner, NPI 1811480833
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for CANDICE LEANN LONG (ARNP)
345 Healthwest Dr
Dothan, AL 363032053
Phone: (334) 793-2663
Fax: (334) 836-2248
Type: Location
1500 Ross Clark Cir
Dothan, AL 36301
Phone: (334) 793-2663
Type: Location
420 20th St N Ste 2200
Birmingham, AL 352033261
Phone: (866) 949-0108
Fax: (901) 422-7636
Type: Location
1106, North Haven Circle, Lynn Haven, Bay County, Florida, 32444, United States
LYNN HAVEN, FL 324442934
Phone:
Type: Mailing
1500, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States
DOTHAN, AL 36301
Phone: (334) 793-2663
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190516002445 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 312 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 200 | 135 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 79 | 50 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 69 | 57 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 46 | $0 |
Insurance plans in this area (ZIP 36303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AL | |
| Physician Assistant | PA | |
| P O D I A T R Y | AL | |
| Orthopedic Surgery | AL | |
| Nurse Practitioner | AL | |
| Orthopedic Surgery | AL | |
| - | AL | |
| Orthopedic Surgery | AL | |
| Physician Assistant | AL | |
| - | AL |
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