LONGEVITY ACCOUNTABLE CARE, PA
NPI 1396584454
Family Medicine - Geriatric Medicine in Salisbury, NC

Active since May 20, 2024
635 STATESVILLE BLVD, SALISBURY, NC 28144(704) 633-7390 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Longevity Accountable Care, Pa NPPES

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

LONGEVITY ACCOUNTABLE CARE, PA (NPI 1396584454) is a healthcare organization registered as a geriatric medicine in Salisbury, North Carolina and active in the NPI registry since May 2024. The organization lists Diane Vincur, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1396584454
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameLONGEVITY ACCOUNTABLE CARE, PA
Location Address635 STATESVILLE BLVDSalisbury, NC 28144-2201
Mailing Address11780 Us Highway 1 Ste N107Palm Beach Gardens, FL 33408-3007 · (561) 815-2427
Organization SubpartYes
Authorized OfficialDiane VincurPractice Manager · (561) 815-2427
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1396584454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
635 STATESVILLE BLVD, Salisbury, NC 28144

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Longevity Accountable Care, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Longevity Accountable Care, PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (18)

Nurse Practitioner
NPI 1336532498
279 BRIAN CENTER DR
Lexington, NC 27292
(336) 688-8726
✔ PECOS14 mi
Nurse Practitioner
NPI 1265192702
279 BRIAN CENTER DR
Lexington, NC 27292
(743) 637-0995
✔ PECOS14 mi
Nurse Practitioner
NPI 1417468042
12305 MCCORD RD
Huntersville, NC 28078
(828) 674-0850
✔ PECOS26 mi
Nurse Practitioner
NPI 1689062390
12305 MCCORD RD
Huntersville, NC 28078
(910) 553-8494
✔ PECOS26 mi
Nurse Practitioner
NPI 1306481114
4231 SALEM SPRINGS CT
Winston Salem, NC 27107
(704) 860-2566
✔ PECOS28 mi
Nurse Practitioner
NPI 1780334268
707 N ELM ST
High Point, NC 27262
(336) 885-0141
✔ PECOS33 mi
Nurse Practitioner
NPI 1639596851
5939 REDDMAN RD
Charlotte, NC 28212
(704) 914-7926
✔ PECOS37 mi
Nurse Practitioner
NPI 1518509801
2616 E 5TH ST
Charlotte, NC 28204
(336) 628-2812
✔ PECOS38 mi
Nurse Practitioner
NPI 1558994699
931 N ASPEN ST
Lincolnton, NC 28092
(704) 860-8692
✔ PECOS46 mi
Nurse Practitioner
NPI 1891137311
2525 COURT DR
Gastonia, NC 28054
(704) 834-4390
✔ PECOS46 mi
Nurse Practitioner
NPI 1952675209
2703 HENRY ST
Greensboro, NC 27405
(336) 621-8911
✔ PECOS49 mi
Nurse Practitioner
NPI 1740327337
2051 COUNTRY CLUB RD
Wadesboro, NC 28170
(704) 465-5650
✔ PECOS57 mi
Nurse Practitioner
NPI 1891773008
2645 MERIDIAN PKWY STE 323
Durham, NC 27713
(984) 227-8902
✔ PECOS✔ Accepts Medicare91 mi
Nurse Practitioner
NPI 1487510327
1401 71ST SCHOOL RD
Fayetteville, NC 28314
(910) 867-4960
✔ PECOS95 mi
Nurse Practitioner
NPI 1467854828
302 KNOLLCREST LN
Knightdale, NC 27545
(919) 213-1403
✔ PECOS✔ Accepts Medicare113 mi
Nurse Practitioner
NPI 1730858226
1510 HEBRON RD
Hendersonville, NC 28739
(828) 693-8461
✔ PECOS115 mi
Nurse Practitioner
NPI 1265050181
237 MULBERRY ST
Shallotte, NC 28470
(828) 639-9018
✔ PECOS168 mi
Nurse Practitioner
NPI 1043629611
6010 BALCONES DR STE 102
Austin, TX 78731
(512) 547-7487
✔ PECOS1,066 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Longevity Accountable Care, PA's NPI number?

The NPI number for Longevity Accountable Care, PA is 1396584454. It was assigned to this organization in the NPPES registry on May 20, 2024.

Where is Longevity Accountable Care, PA located?

Longevity Accountable Care, PA is located at 635 Statesville Blvd, Salisbury, NC 28144. The listed phone number is (704) 633-7390.

What is Longevity Accountable Care, PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Longevity Accountable Care, PA enrolled in Medicare?

Yes. Longevity Accountable Care, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Longevity Accountable Care, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Accountable Care, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Longevity Accountable Care, PA was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.