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

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: November 01, 2026.

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

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Prisma Health University Medical Group
0.3 mi
Nurse Practitioner
712 GROVE RD
Greenville, SC 29605
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1053786483 (864) 455-9349

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 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.

DR. ROBERT J HEINECK M.D.
Obstetrics & Gynecology
890 W FARIS RD STE 470
GREENVILLE, SC 29605
Greenville County (864) 455-1600
EMILY STYLES
Nurse Practitioner (Family)
890 W FARIS RD STE 470
GREENVILLE, SC 29605
Greenville County (864) 455-4673
JOHN V DACUS M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
890 W FARIS RD STE 470
GREENVILLE, SC 29605
Greenville County (864) 455-1600
LESLEY B PICKELL MD
Obstetrics & Gynecology
890 W FARIS RD STE 470
GREENVILLE, SC 29605
Greenville County (864) 455-1600
ABIGAIL KANIARIS RISHOVD CPNP
Nurse Practitioner (Pediatrics)
890 W FARIS RD STE 470
GREENVILLE, SC 29605
Greenville County (864) 455-5938
BRYAN WILLIAM BROOKS MD
Obstetrics & Gynecology
890 W FARIS RD STE 470
GREENVILLE, SC 29605
Greenville County (864) 455-1600
TAYLOR MARIE BYNAROWICZ MD
Obstetrics & Gynecology
890 W FARIS RD STE 470
GREENVILLE, SC 29605
Greenville County (864) 455-1600
DANIEL NATHAN PASKO M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
890 W FARIS RD STE 470
GREENVILLE, SC 29605
Greenville County (864) 455-1600

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 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. The provider is also known as Ivana Shalonda Martin.

Where is Ivana Long located?

Ivana Long practices at 890 W Faris Rd Ste 470, Greenville, SC 29605. The listed phone number is (864) 455-1600.

What is Ivana Long's specialty?

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

Is Ivana Long enrolled in Medicare?

Yes. Ivana Long is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivana Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivana Long reassigns Medicare benefits to Prisma Health University Medical Group (Greenville, SC). 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 Ivana Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivana Long accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Ivana Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivana Long was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.