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

Katherine Marie Long, PA

Individual provider Surgical Physician Assistant · NPI 1134495484

Katherine Marie Long, PA is a Physician Assistant in Jackson, Mississippi. Qualified in 2011, 15 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
15
Licensed in
MS
In the registry since
2012
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

1225 N State St Surgery
Jackson, MS 39202-2064
Phone: (601) 968-7047
Fax: (601) 968-4133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence TPA0023 (MS)

Record details

NPI number1134495484
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 30, 2012
Last updated in NPPESMarch 29, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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