DR. JUSTIN B LONG (NPI# 1770718843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770718843 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN B LONG |
| Credential | MD |
| Practice Address |
1405 Clifton Rd Ne Atlanta GA 30322-1060 |
| Practice Telephone | 4047856670 |
| Mailing Telephone | 4047856670 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
036.132063 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145267 | Justin Long | Chiropractor | 11498 Pierce St, Ste B, Riverside, CA 92505-3308 | 2005-06-24 |
| 1588213318 | Justin Long | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2019-09-04 |
| 1831627009 | Justin Aaron Long | Case Manager/Care Coordinator | 707 N Cardinal Dr Ste 7, Mountain Home, AR 72653-3274 | 2017-05-31 |
| 1053725531 | Justin M Long | Psychiatry & Neurology | 4921 Parkview Pl, Neuroscience Center 6c, Saint Louis, MO 63110-1032 | 2014-06-12 |
| 1063775492 | Justin Long | Dentist | 3307 Cleveland Rd W, Huron, OH 44839-1021 | 2012-06-20 |
| 1447587027 | Justin Allen Long | Physician Assistant | 501 S Santa Fe Ave, Suite 200, Salina, KS 67401 | 2009-11-03 |
| 1881840254 | Justin Hale Long | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2008-08-17 |
| 1700098407 | Justin Robert Long | Specialist/Technologist | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2007-05-04 |
| 1184728263 | Justin Wayne Long | Physical Therapist | 2085 Hamilton Creek Pkwy, Suite 160, Dacula, GA 30019 | 2006-09-11 |
| Street Address |
1405 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167040 | Kiesha Fraser Doh | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2006-01-06 |
| 1316548654 | Alexa Shea | Audiologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-11-03 |
| 1669071866 | Tara Hynes | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-10-20 |
| 1255947628 | Lauren Nicole Halula | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-09-21 |
| 1003424151 | Meagan Green | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-07-15 |
| 1518587096 | Diane Bailey | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-24 |
| 1194345264 | Meghan Mchale | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-19 |
| 1194344788 | Marisa Winter | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-13 |
| 1073142410 | Kaley Laurence French | Student in an Organized Health Care Education/Training Program | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-07 |
| 1326677600 | Chari Lakey | Technician/Technologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-3050 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525003 | Emily Kowal | Anesthesiology | 1001 Johnson Fy Rd Ne, Atlanta, GA 30342-1605 | 2020-10-13 |
| 1245869551 | Kelsey Rae Bohm | Anesthesiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-07 |
| 1225458342 | Michael Craig Fiedorek | Anesthesiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2014-04-17 |
| 1750727814 | Amit Bhakta | Anesthesiology | 1001 Johnson Fy Rd Ne, Atlanta, GA 30342 | 2013-05-16 |
| 1912297938 | Laura Elizabeth Gilbertson | Anesthesiology | 1405 Clifton Rd Ne, Children's Healthcare of Atlanta, Atlanta, GA 30322-1060 | 2011-04-11 |
| 1912181819 | Vidya S Yalamanchili | Anesthesiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2007-12-27 |
| 1336349497 | Sara Habte | Anesthesiology | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2007-07-18 |
| 1760563977 | Shiva Danda | Anesthesiology | 1405 Clifton Rd, Atlanta, GA 30345 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047450 | Osama Hamed Ibrahim Elazzouny | Anesthesiology | 1311 Bon Air Dr, Augusta, GA 30907-3238 | 2020-09-14 |
| 1972905396 | Wellstar Medical Group, LLC | Anesthesiology | 1180 Ernest W Barrett Pkwy Nw, Suite 100, Kennesaw, GA 30144-4534 | 2014-09-17 |
| 1174758742 | Andrea Dillard | Anesthesiology | 6335 Hospital Pkwy Ste 111, Johns Creek, GA 30097-1550 | 2009-05-26 |
| 1720285653 | The Emory Clinic Pediatric Providers | Anesthesiology | 101 W Ponce De Leon Ave, Ste 300, Decatur, GA 30030-2528 | 2007-07-03 |
Please comment or provide details below to improve the information on DR. JUSTIN B LONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.