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

Q: 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.

Q: What is Jordan Long's specialty?

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

Q: 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 27 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.

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 25, 2026.

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

On this page

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, maintains a secondary practice location in Houston, and is a graduate of Other (2021).

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

Medical School CMSOtherGraduated 2021

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5597223545

PECOS Enrollment IDI20260819003971

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 Jordan Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Providers LLC

71 mi

Internal Medicine

220 J L WHITE DR STE 120
Jasper, GA 30143

Reassigned Medicare billing, Georgia enrollment
689 clinicians in this Medicare group

NPI 1548273592 (770) 801-2500

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 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.

Which organization bills Medicare for Jordan Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Long reassigns Medicare benefits to Piedmont Providers LLC (Jasper, 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 Jordan Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 27 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.