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 1912754573
Neuromusculoskeletal Medicine & OMM in Lewisburg, WV

Q: What is Jordan Long's NPI number?

The NPI number for Jordan Long is 1912754573. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Q: What is Jordan Long's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Long was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 02, 2024PECOS Enrolled

1464 JEFFERSON ST N, LEWISBURG, WV 24901(304) 645-3220(304) 647-1273 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 28, 2026, May 2, 2024 (2 updates tracked since 2024).

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About Jordan Long Do NPPES

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

JORDAN LONG DO (NPI 1912754573) is an individual neuromusculoskeletal medicine & omm provider in Lewisburg, West Virginia, licensed in West Virginia (4900) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912754573

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameJORDAN LONGCredential: DO

Location Address1464 JEFFERSON ST NLewisburg, WV 24901-1380

Mailing Address1464 Jefferson St NLewisburg, WV 24901-1380 · (304) 645-3220 · Fax (304) 647-1273

Phone(304) 645-3220

Fax(304) 647-1273

Sole ProprietorYes

Enumeration DateMay 2, 2024

Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration

NPPES CertifiedAugust 28, 2026

✔ NPI 1912754573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in WV · 4900

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

1464 JEFFERSON ST N, Lewisburg, WV 24901

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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)

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.

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.

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