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

Q: 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.

Q: 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.

Q: 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 11 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.

Active since August 18, 2025PECOS Enrolled

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: August 09, 2026.

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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 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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Long is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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)