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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 codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology058273GAYes
2085B0100X Radiology, Body Imaging058273GA
2085U0001X Radiology, Diagnostic Ultrasound058273GA
2085D0003X Radiology, Diagnostic Neuroimaging058273GA
2085N0700X 058273GA
2085P0229X Radiology, Pediatric Radiology058273GA

Practice location

4350 Towne Centre Dr
Suite 1000
Evans, GA 30809-3301

Phone 706-868-3940

Mailing address

Po Box 3845
1125 Troupe Street
Augusta, GA 30914-3845

Phone 706-737-4275 · Fax 706-731-5289

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Diagnostic Radiology Physician providers in Evans, GA

All 21 Diagnostic Radiology Physician providers in Evans · All 1,218 providers in Evans

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