ANGELA LONG – Family Nurse Practitioner, NPI 1477083913

ANGELA LONG is a healthcare provider. based in Sharpsburg, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN208639 (GA). The NPI Number for ANGELA LONG is 1477083913

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA LONG
NPI
1477083913
Phone
Not provided
Address
8342 HIGHWAY 54
Enumeration Date
18 June 2017
Last Update Date
22 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
40460335431516
Graduation Year
2016 (10 years ago)
PAC ID
5890123392
Group Practice PAC ID
7012904394
Professional Enrollment ID
I20200316002772
Address ID
GA303274122AT3280XNWXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for ANGELA LONG

  • 8342 HIGHWAY 54

    SHARPSBURG, GA 302772109

    Phone:

    Type: Mailing

  • 1265 HIGHWAY 54 W STE 402

    FAYETTEVILLE, GA 302144537

    Phone: (678) 817-6550

    Type: Location

  • Prestley Mill Road, Anneewakee Heights, Douglasville, Douglas County, Georgia, 30135, United States

    DOUGLASVILLE, GA 301345624

    Phone: (678) 715-2993

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 63 Open Payments records for all available years, with a total value of $1,297.

Total Amount is formed as General ($1,297) + Research ($0) + Ownership ($0) = $1,297.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($279).

Total Amount

$1,297

General + Research + Ownership

Payments

63

Total payment records

General Amount

$1,297

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2020-03-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200316002772INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes668515$0
99203New patient office or other outpatient visit, 30-44 minutes9999$0
99214Established patient office or other outpatient visit, 30-39 minutes4745$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 30277)

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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: 7012904394View full group profile
NameSpecialtyState
Nurse PractitionerGA
Internal MedicineKY
G A S T R O E N T E R O L O G YGA
G A S T R O E N T E R O L O G YGA
Gastroenterology, Internal MedicineGA
Nurse PractitionerGA
G A S T R O E N T E R O L O G YGA
Internal MedicineGA
G A S T R O E N T E R O L O G YGA
-GA

Reviews

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Frequently asked questions

Is there an official ID for ANGELA LONG in U.S. healthcare records?
The official identifier for ANGELA LONG is NPI 1477083913.
Would ANGELA LONG appear as active to a payer?
You can treat ANGELA LONG as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ANGELA LONG?
ANGELA LONG is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ANGELA LONG?
Directory geography for ANGELA LONG centers on Sharpsburg, Georgia.
Does ANGELA LONG accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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