MELISSA LOREN LONG (PA-C) – Physician Assistant, NPI 1154917433

MELISSA LOREN LONG (PA-C) is a healthcare provider. based in Augusta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10076 (GA). The NPI Number for MELISSA LOREN LONG (PA-C) is 1154917433

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA LOREN LONG (PA-C)
NPI
1154917433
Phone
(706) 922-7670
Address
3624 J DEWEY GRAY CIR STE 308
Enumeration Date
21 December 2020
Last Update Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7066513232
Graduation Year
2020 (6 years ago)
PAC ID
3072927367
Group Practice PAC ID
2466513874
Professional Enrollment ID
I20210127003312
Address ID
GA309096521AU3651XRDXX303

Contacts

Secure Messaging
MELISSA.LONG@hca5.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MELISSA LOREN LONG (PA-C)

  • 3624 J DEWEY GRAY CIR STE 308

    AUGUSTA, GA 309096580

    Phone: (706) 922-7670

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $752.

Total Amount is formed as General ($752) + Research ($0) + Ownership ($0) = $752.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($593).

Total Amount

$752

General + Research + Ownership

Payments

14

Total payment records

General Amount

$752

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-01-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210127003312IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30909)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466513874View full group profile
NameSpecialtyState
General SurgeryGA
Cardiovascular Disease (Cardiology)GA
Interventional Cardiology, Internal MedicineGA
U R O L O G YGA
Internal Medicine, Cardiovascular Disease (Cardiology)INDIA
Nurse PractitionerGA
Orthopedic SurgeryGA
General SurgeryGA
General Surgery, Critical Care (Intensivists), General SurgeryME
Physician AssistantFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MELISSA LOREN LONG (PA-C)?
MELISSA LOREN LONG (PA-C) — NPI 1154917433 — is the standard way to identify this listing.
Is MELISSA LOREN LONG (PA-C) still practicing?
MELISSA LOREN LONG (PA-C) is currently listed as active in the public NPI registry.
What is MELISSA LOREN LONG (PA-C)'s specialty?
The listing groups MELISSA LOREN LONG (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MELISSA LOREN LONG (PA-C) list a practice location?
Patients near Augusta, Georgia may find MELISSA LOREN LONG (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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