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JACOB LONG
NPI 1790356442
Pediatrics in Greenville, SC

Active since July 04, 2021PECOS Enrolled
701 GROVE RD, GREENVILLE, SC 29605(864) 455-7895 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Long NPPES

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

JACOB LONG (NPI 1790356442) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (LL89833) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790356442
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJACOB LONG
Location Address701 GROVE RDGreenville, SC 29605-4210
Mailing Address701 Grove RdGreenville, SC 29605-4210 · (864) 455-7895
Phone(864) 455-7895
Sole ProprietorNo
Enumeration DateJuly 4, 2021
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1790356442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · LL89833
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

701 GROVE RD, Greenville, SC 29605
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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)

Jacob 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.

DR. KEVIN JOHN GREGG MD
Emergency Medicine
701 GROVE RD, DEPARTMENT OF EMERGENCY MEDICINE
GREENVILLE, SC 29605
Greenville County (864) 455-7157
DR. JEFFREY MICHAEL RUGGIERI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7939
PRASUN H MEHTA MD
Emergency Medicine
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6372
DR. MARSHALL WHITSON WALKER M.D.
Pediatrics (Neonatal-Perinatal Medicine)
701 GROVE RD, DEPT. OF NEONATOLOGY, GREENVILLE HOSPITAL SYSTEM
GREENVILLE, SC 29605
Greenville County (864) 455-7939
JESSE T FELDER III MD
Emergency Medicine
701 GROVE RD, ER ADMINISTRATION
GREENVILLE, SC 29605
Greenville County (864) 455-6372
DR. FRANK J FERLISI MD
Emergency Medicine
701 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-7157
JO ANN SOUSA MD
Emergency Medicine
701 GROVE RD, ER ADMINISTRATION
GREENVILLE, SC 29605
Greenville County (864) 455-6372
JACK E COLKER MD
Emergency Medicine
701 GROVE RD, ER ADMINISTRATION
GREENVILLE, SC 29605
Greenville County (864) 455-6372

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 Jacob Long's NPI number?

The NPI number for Jacob Long is 1790356442. It was assigned to this individual provider in the NPPES registry on July 4, 2021.

Where is Jacob Long located?

Jacob Long practices at 701 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-7895.

What is Jacob Long's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacob Long enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Long was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.