DIANE LONG MD
NPI 1174558613
Specialist in Memphis, TN

Active since July 12, 2006PECOS Enrolled
6215 HUMPHREYS BLVD, SUITE 500, MEMPHIS, TN 38120(901) 682-0630(901) 682-0635 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1174558613
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDIANE LONGCredential: MD
Location Address6215 HUMPHREYS BLVD, SUITE 500Memphis, TN 38120-2367
Mailing Address6215 Humphreys Blvd, Suite 500Memphis, TN 38120-2367 · (901) 682-0630 · Fax (901) 682-0635
Fax(901) 682-0635
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174558613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · 15391
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6215 HUMPHREYS BLVD, Memphis, TN 38120

Other Identifiers 2

Medicare ID-Type Unspecified3028182TN
Medicare UPINA99205TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Diane Long Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Radiology (Diagnostic Radiology)
6215 HUMPHREYS BLVD, SUITE 100
MEMPHIS, TN 38120
Obstetrics & Gynecology (Obstetrics)
6215 HUMPHREYS BLVD, SUITE 401
MEMPHIS, TN 38120
Specialist
6215 HUMPHREYS BLVD, SUITE 500
MEMPHIS, TN 38120
Nurse Practitioner (Neonatal, Critical Care)
6215 HUMPHREYS BLVD, SUITE 201
MEMPHIS, TN 38120
Pediatrics
6215 HUMPHREYS BLVD, SUITE 200
MEMPHIS, TN 38120
Specialist
6215 HUMPHREYS BLVD, SUITE 500
MEMPHIS, TN 38120
Obstetrics & Gynecology
6215 HUMPHREYS BLVD, STE 400
MEMPHIS, TN 38120
Obstetrics & Gynecology
6215 HUMPHREYS BLVD, SUITE 401
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.

When was this NPI record last updated?

The NPPES record for Diane Long was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.