TABITHA LONG FNP-C
NPI 1972193746
Nurse Practitioner - Family in Jbsa Lackland, TX
About Tabitha Long Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TABITHA LONG FNP-C (NPI 1972193746) is an individual family provider in Jbsa Lackland, Texas, licensed in Mississippi (904368) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tabitha Long Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tabitha Long reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 8 clinicians in this Medicare group
Gulfport, MS 39507
- Reassigned Medicare billing, Mississippi enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
LACKLAND AFB, TX 78236
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 Tabitha Long's NPI number?
The NPI number for Tabitha Long is 1972193746. It was assigned to this individual provider in the NPPES registry on January 25, 2021.
Where is Tabitha Long located?
Tabitha Long practices at 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-1455.
What is Tabitha Long's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tabitha Long enrolled in Medicare?
Yes. Tabitha Long is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tabitha Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Long reassigns Medicare benefits to 2 organizations: Southern Family Urgent Care LLC (Gulfport, MS) and A R Mizell LLC (Gulfport, MS). Each 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 Tabitha Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tabitha Long accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Tabitha 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 Tabitha Long was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Tabitha Long, FNP-C · NPI 1972193746
Family physician in Jbsa Lackland, Texas. Individual provider, active in the CMS NPPES registry since January 25, 2021.
## Identity
- **NPI:** 1972193746 (Entity type: Individual)
- **Enumerated:** January 25, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 904368 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236-5638
- **Phone:** (210) 292-1455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern Family Urgent Care LLC (NPI 1396379186, Gulfport, MS); A R Mizell LLC (NPI 1144582040, Gulfport, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972193746) · Data from the CMS NPPES public registry.