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

John Long, PA

Individual provider Physician Assistant · NPI 1043028418

John Long, PA is a Physician Assistant in Lakeland, Florida. Qualified in 2024, 2 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2000 E Edgewood Dr Ste 112
Lakeland, FL 33803-3639
Phone: (863) 666-3436
Fax: (863) 667-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1218517 (FL)

Record details

NPI number1043028418
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 18, 2024
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing address2000 E Edgewood Dr Ste 112, Lakeland, FL 33803-3639

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lakeland