DIANE LONG MD
NPI 1174558613
Specialist in Memphis, TN
About Diane Long Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE LONG MD (NPI 1174558613) is an individual specialist in Memphis, Tennessee, licensed in Tennessee (15391) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diane Long Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Diane Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Memphis, TN 38120
- Reassigned Medicare billing, Tennessee enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MEMPHIS, TN 38120
MEMPHIS, TN 38120
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 Diane Long's NPI number?
The NPI number for Diane Long is 1174558613. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Diane Long located?
Diane Long practices at 6215 Humphreys Blvd Suite 500, Memphis, TN 38120. The listed phone number is (901) 682-0630.
What is Diane Long's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Diane Long enrolled in Medicare?
Yes. Diane Long is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Diane Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diane Long reassigns Medicare benefits to Women's Care Center Of Memphis, Mpllc (Memphis, TN). 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 Diane Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Diane Long accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Diane 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.
When was this NPI record last updated?
The NPPES record for Diane Long was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Diane Long, MD · NPI 1174558613
Specialist provider in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1174558613 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 15391 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 6215 HUMPHREYS BLVD, SUITE 500, Memphis, TN 38120-2367
- **Phone:** (901) 682-0630 · **Fax:** (901) 682-0635
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Women's Care Center Of Memphis, Mpllc (NPI 1720151418, Memphis, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 3028182 (TN); Medicare UPIN A99205 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1174558613) · Data from the CMS NPPES public registry.