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ANNA LONG
NPI 1508743030
Student in an Organized Health Care Education/Training Program in Columbia, SC

Active since August 18, 2025PECOS EnrolledAccepts Medicare Assignment
1601 GREENE ST, COLUMBIA, SC 29208(803) 777-7412 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anna Long NPPES

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

ANNA LONG (NPI 1508743030) is an individual student in an organized health care education/training program in Columbia, South Carolina and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1508743030
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNA LONG
Location Address1601 GREENE STColumbia, SC 29208-4001
Mailing Address1601 Greene StColumbia, SC 29208-4001 · (803) 777-7412
Phone(803) 777-7412
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1508743030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1601 GREENE ST, Columbia, SC 29208
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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

Anna Long 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.

PECOS PAC ID749756021
PECOS Enrollment IDI20260415000294
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.

Medicare Billing Reassignment

Medicare enrollment records show Anna Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
189 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

SHERONDA QUILLER SMITH
Nurse Practitioner (Psychiatric/Mental Health)
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 439-8238
LAUREN BISHOP
Nurse Practitioner (Family)
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
KELLI GREGG MADDOX
Nurse Practitioner
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
SHAMERA LANE
Nurse Practitioner
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
CARLY JAMISON DUNN
Student in an Organized Health Care Education/Training Program
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
SALOMEY OWUSUA CAMPBELL
Student in an Organized Health Care Education/Training Program
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
CARLEY ANTOINETTE BRUNETTO
Student in an Organized Health Care Education/Training Program
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412
JANICE DENISE JACKSON
Student in an Organized Health Care Education/Training Program
1601 GREENE ST
COLUMBIA, SC 29208
Richland County (803) 777-7412

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 Anna Long's NPI number?

The NPI number for Anna Long is 1508743030. It was assigned to this individual provider in the NPPES registry on August 18, 2025.

Where is Anna Long located?

Anna Long practices at 1601 Greene St, Columbia, SC 29208. The listed phone number is (803) 777-7412.

What is Anna Long's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anna Long enrolled in Medicare?

Yes. Anna 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 Anna Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Long reassigns Medicare benefits to Wellstar Medical Group, LLC (Roswell, 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 Anna Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Anna Long affiliated with any hospitals?

According to CMS data, Anna Long is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Anna Long was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.