IVANA SHALONDA LONG
NPI 1548941107
Nurse Practitioner - Family in Greenville, SC

Q: What is Ivana Long's NPI number?

The NPI number for Ivana Long is 1548941107. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Q: What is Ivana Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ivana Long was last updated on February 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 27, 2023PECOS Enrolled

890 W FARIS RD STE 470, GREENVILLE, SC 29605(864) 455-1600(864) 455-3095 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 25, 2025, Jul 27, 2023 (2 updates tracked since 2023).

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About Ivana Shalonda Long NPPES

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

IVANA SHALONDA LONG (NPI 1548941107) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (27775) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548941107

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIVANA SHALONDA LONG

Location Address890 W FARIS RD STE 470Greenville, SC 29605-4281

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 455-1600

Fax(864) 455-3095

Sole ProprietorNo

Enumeration DateJuly 27, 2023

Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2025

✔ NPI 1548941107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 27775

Also ListedRegistered NurseTaxonomy 163W00000X · License 240441 (SC)

890 W FARIS RD STE 470, Greenville, SC 29605

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Other Names 1

Former Name (1)Ivana Shalonda Martin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivana Shalonda Long 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 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

JOHN V DACUS M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)