MR. JAMES ELDON LONG SR. PA-C
NPI 1124165626
Physician Assistant - Medical in Williston, FL

Q: What is James Long's NPI number?

The NPI number for James Long is 1124165626. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is James Long's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for James Long was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since January 31, 2007

300A NW 1ST AVE, WILLISTON, FL 32696(352) 529-0966(352) 529-0967 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. James Eldon Long Sr. Pa-c NPPES

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

MR. JAMES ELDON LONG SR. PA-C (NPI 1124165626) is an individual medical provider in Williston, Florida, licensed in Florida (PA2538) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1124165626

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JAMES ELDON LONG SR.Credential: PA-C

Location Address300A NW 1ST AVEWilliston, FL 32696-2006

Mailing Address300a N,w, 1st AveWilliston, FL 32696-6262 · (352) 529-0966 · Fax (352) 529-0967

Phone(352) 529-0966

Fax(352) 529-0967

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateApril 29, 2014

✔ NPI 1124165626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA2538

300A NW 1ST AVE, Williston, FL 32696

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Other Identifiers 3

Medicare PINE1381YFL

OtherY09KUFL · Bcbs

Medicaid004428900FL

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 James Long's NPI number?

The NPI number for James Long is 1124165626. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is James Long located?

James Long practices at 300A NW 1st Ave, Williston, FL 32696. The listed phone number is (352) 529-0966.

What is James Long's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for James Long was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.