Dr. Michael David Longe, MD
Radiology, Diagnostic Radiology in Evans, GA. Individual provider (NPI-1).
NPI number1881817286
StatusActive
Last updated in NPPESOct 31, 2013
Details
- NPI
- 1881817286
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael David Longe
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2007
- Last updated
- Oct 31, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 058273 | GA | Yes |
| 2085B0100X | Radiology, Body Imaging | 058273 | GA | |
| 2085U0001X | Radiology, Diagnostic Ultrasound | 058273 | GA | |
| 2085D0003X | Radiology, Diagnostic Neuroimaging | 058273 | GA | |
| 2085N0700X | 058273 | GA | ||
| 2085P0229X | Radiology, Pediatric Radiology | 058273 | GA |
Practice location
4350 Towne Centre DrSuite 1000
Evans, GA 30809-3301
Phone 706-868-3940
Mailing address
Po Box 38451125 Troupe Street
Augusta, GA 30914-3845
Phone 706-737-4275 · Fax 706-731-5289
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All 21 Diagnostic Radiology Physician providers in Evans · All 1,218 providers in Evans
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