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

Long Her

Individual provider Family Medicine Physician · NPI 1124697255

Long Her is a Family Practice in Crawfordville, Florida. Qualified in 2020, 6 years ago. Practices with Tallahassee Memorial Healthcare Inc, a 497-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

15 Council Moore Rd
Crawfordville, FL 32327-3117
Phone: (850) 926-7105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME169510 (FL)

Record details

NPI number1124697255
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 22, 2021
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address1501 Kings Hwy, Shreveport, LA 71103-4228

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tallahassee Memorial Healthcare Inc — 497 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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