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

Medicare Doctors and Clinicians

8644544500 · Nurse Practitioner · 200 Patewood Dr, Suite B350, Greenville, SC 29615-6337

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
Elizabeth Erin Kelly Nurse PractitionerPrisma Health University Medical Group1351 Crestview Rd, Easley, SC 29642-2408
Nicole Ann Larche Certified Nurse Midwife (Cnm)Prisma Health University Medical Group890 W Faris Rd, Suite 470, Greenville, SC 29605-4281
Emily Suzanne Nyers DermatologyPrisma Health University Medical Group920 Woodruff Rd, Greenville, SC 29607-4105
Rachael Mazzamurro Obstetrics/GynecologyPrisma Health University Medical Group101 Halton Rd, Greenville, SC 29607-3507
Samuel Ryan Faught Radiation OncologyPrisma Health University Medical Group900 W Faris Rd, Greenville, SC 29605-4255
Melicia Ivette Tanner Mental Health CounselorPrisma Health University Medical Group139 Lila Doyle Dr, Seneca, SC 29672-9495
Joseph Paul Flynn HospitalistPrisma Health University Medical Group701 Grove Rd, Suite 5, Greenville, SC 29605-4210
Shawna Schmidt Certified Registered Nurse Anesthetist (Crna)Prisma Health University Medical Group7 Independence Pt, Suite 300, Greenville, SC 29615-4569
Jordan Elizabeth Ponder Nurse PractitionerPrisma Health University Medical Group109 Doctors Dr, Greenville, SC 29605-5608
Madeline Lucas Physician AssistantPrisma Health University Medical Group210 Freeman Farm Rd, Duncan, SC 29334-9398
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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
Rachel Ann Parr Vascular SurgeryPrisma Health University Medical Group200 Patewood Dr, Suite A300, Greenville, SC 29615-6303
Niall O'Brien Physical TherapyGreenville Proaxis Therapy LLC200 Patewood Dr, C150, Greenville, SC 29615-6323
Thomas Higgins Gann Jr. NeurologyPrisma Health University Medical Group200 Patewood Dr, Suite B350, Greenville, SC 29615-6337
Amber Marie Stutz NeurologyPrisma Health University Medical Group200 Patewood Dr, Suite B350, Greenville, SC 29615-6337
Hemanth G Pasupuleti NeurologyPrisma Health University Medical Group200 Patewood Dr, Suite B350, Greenville, SC 29615-6337
Cintia Cristine Ely Silva Benner Physical TherapyGreenville Proaxis Therapy LLC200 Patewood Dr, Suite C250, Greenville, SC 29615-3593
Miesty Woodburn NeurologyPrisma Health University Medical Group200 Patewood Dr, Suite B350, Greenville, SC 29615-6337
Cameron James Holshouser Physical TherapyGreenville Proaxis Therapy LLC200 Patewood Dr, C150, Greenville, SC 29615-6323
Adam Ross Schertz Pulmonary DiseasePrisma Health University Medical Group200 Patewood Dr, Suite B300, Greenville, SC 29615-6338
Marisa Ferguson Physical TherapyGreenville Proaxis Therapy LLC200 Patewood Dr, Suite C250, Greenville, SC 29615-3593
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Reginald R Brannen ChiropracticCarter Chiropractic Center LLC2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172
Marcella V Young Internal Medicine540 Old Howell Rd B, Greenville, SC 29615-1969
Ryan Seldon Ford 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
Matthew Allen Huey ChiropracticSuperior Healthcare Physical Medicine of Greenville Inc2520 Wade Hampton Blvd, Suite B, Greenville, SC 29615-1178
James L Bridgeman Family PracticeSpartanburg Medical Center12 Arborland Way, Greenville, SC 29615-2201
Leonard Clay Carter ChiropracticCarter Chiropractic Center LLC2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172
Benjamin Giebell ChiropracticSuperior 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
Shiv T Mehta PodiatryGreenville Podiatry Associates Pa5 Arborland Way, Greenville, SC 29615-2201
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Jesse Lee Even Orthopedic SurgeryTmi Sports Medicine and Orthopedic Surgery Pa3533 Matlock Rd, Arlington, TX 76015-3604
Jesse C Mer Diagnostic RadiologyCentral Illinois Radiological Associates Ltd111 Oakwood Rd, East Peoria, IL 61611-1853
Jesse Vos Physician AssistantNorth Pacific Dermatology A Medical Corporation4715 Valley E Blvd, Suite 3, Arcata, CA 95521-3586
Jesse N Fox Pediatric MedicineIhc Health Services Inc700 S Hwy 99 3, Fillmore, UT 84631-5137
Jesse K Liu GastroenterologyKaiser Foundation Health Plan of The Mid-Atlantic States,Inc1221 Mercantile Ln, Largo, MD 20774-5374
Jesse J Twu Nurse PractitionerUtah Regional Hospitalists LLC840 E Elva St, Idaho Falls, ID 83401-2801
Jesse Kar Kit Ng Physical TherapySelect Cs Physical Therapy PC6801 Park Ter, Suite 200, Los Angeles, CA 90045-1546
Jesse H Kim Emergency MedicineNorthwest Emergency Physicians LLC34515 9th Ave S, Federal Way, WA 98003-6761
Jesse B. Mez NeurologyBoston University Neurology Associates Inc1 Boston Medical Ctr Pl, Boston, MA 02118-2908
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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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