DR. KENNETH MICHAEL LONG D.O.
NPI 1346535390
Family Medicine in Moss Point, MS
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Long reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mobile, AL 36608
- Reassigned Medicare billing, Mississippi enrollment
- 10 clinicians in this Medicare group
Slidell, LA 70461
- Reassigned Medicare billing, Louisiana enrollment
- 4,559 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.
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.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Kenneth Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Long reassigns Medicare benefits to 2 organizations: Mississippi Providence Healthcare Services Inc. (Mobile, AL) and Ochsner Clinic LLC (Slidell, LA). Each 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 Kenneth Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Long was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Kenneth Michael Long, D.O. · NPI 1346535390
Family Medicine physician in Moss Point, Mississippi. Individual provider, active in the CMS NPPES registry since June 17, 2011.
## Identity
- **NPI:** 1346535390 (Entity type: Individual)
- **Enumerated:** June 17, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 22826 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 5907 HIGHWAY 90, Moss Point, MS 39563-6536
- **Phone:** (228) 769-2611
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Mississippi Providence Healthcare Services Inc. (NPI 1821340407, Mobile, AL); Ochsner Clinic LLC (NPI 1548755770, Slidell, LA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2021
- **Other identifiers:** Medicaid 08224277 (MS); Other P01332510 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1346535390) · Data from the CMS NPPES public registry.