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KATHERINE MARIE LONG PA
NPI 1134495484
Physician Assistant - Surgical in Jackson, MS

Active since March 30, 2012PECOS EnrolledAccepts Medicare Assignment
71/100
CMS Quality Rating
1225 N STATE ST, SURGERY, JACKSON, MS 39202(601) 968-7047(601) 968-4133 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Marie Long Pa NPPES

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

KATHERINE MARIE LONG PA (NPI 1134495484) is an individual surgical provider in Jackson, Mississippi, licensed in Mississippi (TPA0023) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1134495484
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATHERINE MARIE LONGCredential: PA
Location Address1225 N STATE ST, SURGERYJackson, MS 39202-2064
Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446 · (901) 227-3255 · Fax (901) 227-8591
Phone(601) 968-7047
Fax(601) 968-4133
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 30, 2012
Last NPPES UpdateMarch 29, 2018
✔ NPI 1134495484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MS · TPA0023
1225 N STATE ST, Jackson, MS 39202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Marie Long Pa 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 ID4082877691
PECOS Enrollment IDI20120518000064
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.

Areas of Expertise CMS Part B claims 2

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.

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.
31 services23 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.58
Promoting Interoperability86
Improvement Activities40
Cost58.42

Other Providers at the Same Location NPPES 20

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

HADEN DAVIS
Registered Nurse
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1044
MRS. ALLISON MITCHELL CCC-SLP
Speech-Language Pathologist
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-5003
STEPHEN PAUL EPPERSON MD
Family Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 988-5281
DR. RICHARD B FRIEDMAN MD
Radiology (Radiation Oncology)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1416
JOHN C BROOKS M.D.
Emergency Medicine (Emergency Medical Services)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 982-6001
KATHRYN B BROWN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-3070
WILLIAM FRANKLIN RAYBURN M.D.
Internal Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 988-5281
JOSHUA GRICE CAMPBELL MD
Emergency Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1000

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 Katherine Long's NPI number?

The NPI number for Katherine Long is 1134495484. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Katherine Long located?

Katherine Long practices at 1225 N State St Surgery, Jackson, MS 39202. The listed phone number is (601) 968-7047.

What is Katherine Long's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Katherine Long enrolled in Medicare?

Yes. Katherine Long 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.

What insurance does Katherine Long accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Katherine Long 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.

Is Katherine Long affiliated with any hospitals?

According to CMS data, Katherine Long is affiliated with Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Long was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.