MS. MARY LAVONNE LONG APRN
NPI 1295877033
Nurse Practitioner - Family in Smyrna, GA
About Ms. Mary Lavonne Long Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY LAVONNE LONG APRN (NPI 1295877033) is an individual family provider in Smyrna, Georgia, licensed in Georgia (RN077139) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Wellstar Cobb Medical Center, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Mary Lavonne Long Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Smyrna, GA 30082
- Reassigned Medicare billing, Georgia enrollment
- 3,885 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Cobb Medical Center
Acute Care Hospitals · Austell, GAWellstar Douglas Medical Center
Acute Care Hospitals · Douglasville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Mary Long's NPI number?
The NPI number for Mary Long is 1295877033. It was assigned to this individual provider in the NPPES registry on February 12, 2007.
Where is Mary Long located?
Mary Long practices at 3969 S Cobb Dr SE Ste 206, Smyrna, GA 30080. The listed phone number is (770) 432-5326.
What is Mary Long's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Long enrolled in Medicare?
Yes. Mary 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.
Which organization bills Medicare for Mary Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Long reassigns Medicare benefits to Wellstar Medical Group, LLC (Smyrna, GA). 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 Mary Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Long accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Mary 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 Mary Long affiliated with any hospitals?
According to CMS data, Mary Long is affiliated with Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.
When was this NPI record last updated?
The NPPES record for Mary 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.
# Ms. Mary Lavonne Long, APRN · NPI 1295877033
Family physician in Smyrna, Georgia. Individual provider, active in the CMS NPPES registry since February 12, 2007.
## Identity
- **NPI:** 1295877033 (Entity type: Individual)
- **Enumerated:** February 12, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN077139 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3969 S COBB DR SE STE 206, Smyrna, GA 30080-6317
- **Phone:** (770) 432-5326 · **Fax:** (770) 432-5740
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellstar Medical Group, LLC (NPI 1538467303, Smyrna, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1295877033) · Data from the CMS NPPES public registry.