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LONG LY MD
NPI 1023638871
Dermatology in Atlanta, GA

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
1819 PEACHTREE STREET, SUITE 600, ATLANTA, GA 30309(404) 350-5777(404) 350-5755 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2026, Oct 11, 2024, Jun 21, 2021 and 1 more (4 updates tracked since 2020).

About Long Ly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG LY MD (NPI 1023638871) is an individual dermatology provider in Atlanta, Georgia, licensed in Georgia (99267) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2020).

NPPES Registry Identity

NPI1023638871
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameLONG LYCredential: MD
Location Address1819 PEACHTREE STREET, SUITE 600Atlanta, GA 30309-1848
Mailing Address875 Johnson Fy Rd Ne Ste 300Atlanta, GA 30342-1418 · (404) 257-9933 · Fax (404) 257-9931
Phone(404) 350-5777
Fax(404) 350-5755
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2020
Enumeration DateApril 22, 2020
Last NPPES UpdateJanuary 28, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1023638871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 99267
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1819 PEACHTREE STREET, Atlanta, GA 30309
Open in Google Maps ↗

Secondary Practice Location 1

Location 1875 Johnson Fy Rd NE Ste 300Atlanta, GA 30342-1418 · Phone (404) 257-9933 · Fax (404) 257-9931

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Long Ly Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901207109
PECOS Enrollment IDI20240522001363
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Long Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metroderm, P.C.
7.3 mi
MOHS-Micrographic Surgery
875 JOHNSON FERRY RD NE, SUITE 300
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 35 clinicians in this Medicare group
NPI 1205833894 (404) 257-9933

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
51 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services27 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
26 services26 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
20 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGENERATIVE ORTHOPAEDICS AND SPINE INSTITUTE, LLC
Durable Medical Equipment & Medical Supplies
1819 PEACHTREE STREET
ATLANTA, GA 30309
Fulton County (770) 892-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long Ly's NPI number?

The NPI number for Long Ly is 1023638871. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Long Ly located?

Long Ly practices at 1819 Peachtree Street Suite 600, Atlanta, GA 30309. The listed phone number is (404) 350-5777.

What is Long Ly's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Long Ly enrolled in Medicare?

Yes. Long Ly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Long Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Long Ly reassigns Medicare benefits to Metroderm, P.C. (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Long Ly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Long Ly accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Long Ly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Long Ly was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.