WILLIAM HANOVER LONG M.D.
NPI 1225090251
Obstetrics & Gynecology in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since April 05, 2006PECOS Enrolled

3 SHIRCLIFF WAY STE 200, JACKSONVILLE, FL 32204(904) 384-3699(904) 384-8529 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 27, 2022, Feb 25, 2019, Nov 12, 2015 (3 updates tracked since 2015).

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About William Hanover Long M.d. NPPES

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

WILLIAM HANOVER LONG M.D. (NPI 1225090251) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME39826) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1225090251

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameWILLIAM HANOVER LONGCredential: M.D.

Location Address3 SHIRCLIFF WAY STE 200Jacksonville, FL 32204-4785

Mailing AddressPo Box 25317Tampa, FL 33622-5317 · (813) 286-0033 · Fax (813) 282-1806

Phone(904) 384-3699

Fax(904) 384-8529

Sole ProprietorNo

Enumeration DateApril 5, 2006

Last NPPES UpdateOctober 27, 20223 updates tracked since enumeration

NPPES CertifiedOctober 27, 2022

✔ NPI 1225090251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME39826

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3 SHIRCLIFF WAY STE 200, Jacksonville, FL 32204

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Secondary Practice Location 1

Location 12363 Dunn AveJacksonville, FL 32218-4695 · Phone (904) 757-2234 · Fax (904) 757-2206

Other Identifiers 1

Medicaid066826500FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Hanover Long M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 18

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

THOMAS R. VIRTUE M.D.

Obstetrics & Gynecology