DR. KENNETH MICHAEL LONG D.O.
NPI 1346535390
Family Medicine in Moss Point, MS

Active since June 17, 2011PECOS Enrolled
5907 HIGHWAY 90, MOSS POINT, MS 39563(228) 769-2611 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2021, Jan 19, 2021, Mar 21, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Kenneth Michael Long D.o. NPPES

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

DR. KENNETH MICHAEL LONG D.O. (NPI 1346535390) is an individual family medicine provider in Moss Point, Mississippi, licensed in Mississippi (22826) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346535390
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH MICHAEL LONGCredential: D.O.
Location Address5907 HIGHWAY 90Moss Point, MS 39563-6536
Mailing Address5907 Highway 90Moss Point, MS 39563-6536 · (504) 842-4000
Sole ProprietorNo
Enumeration DateJune 17, 2011
Last NPPES UpdateJanuary 26, 20216 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
NPI 1346535390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MS · 22826 Licensed in LA · 311654
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5907 HIGHWAY 90, Moss Point, MS 39563

Secondary Practice Locations 2

Location 1128 Highland Pkwy Ste 200Picayune, MS 39466-5578 · Phone (601) 358-9630 · Fax (601) 358-9640
Location 22750 Gause Blvd ESlidell, LA 70461 · Phone (985) 639-3777 · Fax (985) 639-3701

Other Identifiers 2

Medicaid08224277MS
OtherP01332510MS · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kenneth Michael Long D.o. 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 39563 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims44 services$4.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims15 services$1.08 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$51.46 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers33 claims33 services$18.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims33 services$99.01 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier28 claims28 services$21.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Nurse Practitioner (Family)
5907 HIGHWAY 90
MOSS POINT, MS 39563
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563
Nurse Practitioner (Family)
5907 HIGHWAY 90
MOSS POINT, MS 39563
Family Medicine
5907 HIGHWAY 90
MOSS POINT, MS 39563

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 Kenneth Long's NPI number?

The NPI number for Kenneth Long is 1346535390. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Kenneth Long located?

Kenneth Long practices at 5907 Highway 90, Moss Point, MS 39563. The listed phone number is (228) 769-2611.

What is Kenneth Long's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Long enrolled in Medicare?

Yes. Kenneth Long is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Long was last updated on January 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.