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John Long , PA

Physician Assistant β€’ Lakeland, FL

Active NPI 1043028418 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2000 E Edgewood Dr Ste 112
Lakeland, FL 338033639

Call 8636663436 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2000 E Edgewood Dr Ste 112

Lakeland, FL 338033639

Telephone 8636663436
Fax 8636673550
Organization at the Same NPPES Address or Phone
Lakeland Regional Health System, Inc. Facility NPI 1487453247

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Central Florida Orthopaedic Surgery Associates, P.L.; Lakeland Regional Health Systems Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

John Long has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists John Long as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lakeland and Florida

92 active clinicians are listed under Physician Assistant with a practice address in Lakeland, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lakeland

3.3% of these 92 clinicians have the CMS telehealth indicator.

65.2% of these 92 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL 1218517

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250324002585

Enrollment State Jurisdiction

FL

PECOS Control ID

7416479092

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lakeland Regional Health Systems Inc

130 Pablo St, Lakeland, FL 338033818

Phone: 8632845941

Lakeland Regional Health Systems Inc

Attn Managed Care, Lakeland, FL 338054543

Lakeland Regional Health Systems Inc

3525 Lakeland Hills Blvd, Lakeland, FL 338051965

Phone: 8636036565

Central Florida Orthopaedic Surgery Associates, P.l.

2000 E Edgewood Dr, Lakeland, FL 338033639

Phone: 8636663436

Lakeland Regional Health Systems Inc

1324 Lakeland Hill Blvd, Lakeland, FL 338054543

Phone: 8636871248

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Christine Christensen , APRN

Nurse Practitioner - Family

NPI 1063019487

Advanced Practice Registered Nurse

Dr. Timothy Evans , MD

Orthopaedic Surgery

NPI 1942696653

Doctor of Medicine (M.D.)

Dr. Olukemi Fajolu , MD

Orthopaedic Surgery - Hand Surgery

NPI 1023268620

Doctor of Medicine (M.D.)

Jessica Hamilton , PA

Physician Assistant

NPI 1659994259

Physician Assistant

Dr. Stuart Patterson , MD

Orthopaedic Surgery - Hand Surgery

NPI 1215931753

Doctor of Medicine (M.D.)

Kelly Roberts , ARNP

Nurse Practitioner - Adult Health

NPI 1801248281

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 05, 2025

Registered at 2000 E EDGEWOOD DR STE 112, LAKELAND, FL 338033639 (Tel: 8636663436)

πŸ“
Updated Business Mailing Address March 05, 2025

Registered at 2000 E EDGEWOOD DR STE 112, LAKELAND, FL 338033639 (Tel: 8636663436)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2025

Physician Assistant (license number reported to NPPES: FL 1218517)

βœ…
NPI Profile Active December 18, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 18, 2024

Registered at 5563 AMERICA DR, SARASOTA, FL 342314103 (Tel: 2392008668)

πŸ“
Business Mailing Address (Initial Record) December 18, 2024

Registered at 5563 AMERICA DR, SARASOTA, FL 342314103 (Tel: 2392008668)

πŸ‘€
Provider Name / Credentials (Initial Record) December 18, 2024

Recorded as JOHN LONG, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration December 18, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043028418
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2024
Last Update: March 05, 2025
Sole Proprietor: No

Other Physician Assistants in Lakeland

All Physician Assistants in Lakeland

Mailing Address

2000 E Edgewood Dr Ste 112

Lakeland, FL 338033639

Phone: 8636663436

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.