Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly Ann Long, AUD

Individual provider Audiologist · NPI 1457438905

Dr. Kelly Ann Long, AUD is a Qualified Audiologist in Lugoff, South Carolina. Qualified in 2004, 22 years ago. Practices with 360Care Audiology of Virginia LLC, a 4-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
22
Licensed in
SC
In the registry since
2006
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

15 Exchange Dr
Lugoff, SC 29078-9198
Phone: (803) 408-3277
Fax: (803) 408-3299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 2008 (SC)

Record details

NPI number1457438905
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMay 26, 2020
Certification dateMay 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice 360care Audiology Of Virginia Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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