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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN LONG DO
NPI 1730769050
Psychiatry & Neurology - Neurology in Fayetteville, GA

Active since April 12, 2021PECOS Enrolled
1336 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(770) 506-5410 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 8, 2026, Apr 12, 2021 (2 updates tracked since 2021).

About Jordan Long Do NPPES

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

JORDAN LONG DO (NPI 1730769050) is an individual neurology provider in Fayetteville, Georgia, licensed in Georgia (113359) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1730769050
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJORDAN LONGCredential: DO
Location Address1336 HIGHWAY 54 WFayetteville, GA 30214-4573
Mailing Address1 Baylor Plz Ste 405aHouston, TX 77030-3411 · (713) 798-5928
Phone(770) 506-5410
Sole ProprietorNo
Enumeration DateApril 12, 2021
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1730769050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in GA · 113359
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1336 HIGHWAY 54 W, Fayetteville, GA 30214
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Secondary Practice Location 1

Location 11 Baylor Plz Ste 405AHouston, TX 77030-3411 · Phone (713) 798-5928

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Long Do 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 30214 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 12

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

AMITA AGARWAL OTR,CHT
Occupational Therapist
1336 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 461-6142
EDAN SHAPIRO MD
Urology
1336 HIGHWAY 54 W, BLDG 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-9777
MR. FERNANDO A. DURALDE M.D.
Urology
1336 HIGHWAY 54 W, BLDG 200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-9656
LAURA H TAYLOR ATC
Specialist/Technologist (Athletic Trainer)
1336 HIGHWAY 54 W, BLDG 500
FAYETTEVILLE, GA 30214
Fayette County (770) 461-6142
DR. DAVID A. GOODMAN M.D.
Orthopaedic Surgery
1336 HIGHWAY 54 W, BUILDING 500
FAYETTEVILLE, GA 30214
Fayette County (770) 461-1238
AMANDA C. KINLEY PT
Physical Therapist (Orthopedic)
1336 HIGHWAY 54 W, BLDG 500
FAYETTEVILLE, GA 30214
Fayette County (770) 461-6142
PATRICIA T. PERRY PA
Physician Assistant
1336 HIGHWAY 54 W, BLDG 500
FAYETTEVILLE, GA 30214
Fayette County (770) 461-1238
RESURGENS, LLC
Orthopaedic Surgery
1336 HIGHWAY 54 W, BUILDING 500
FAYETTEVILLE, GA 30214
Fayette County (770) 461-1238

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 Jordan Long's NPI number?

The NPI number for Jordan Long is 1730769050. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Jordan Long located?

Jordan Long practices at 1336 Highway 54 W, Fayetteville, GA 30214. The listed phone number is (770) 506-5410.

What is Jordan Long's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jordan Long enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Long was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.