Evonne Marie Long, AUD
NPI 1124497987ActiveIndividual· Audiologist· Jacksonville, FL
Audiologist (AUD) with Bon Secours Medical Group Greenville Specialty Care LLC, practicing in Jacksonville, Florida. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1124497987 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | No |
| NPI issued | Sep 22, 2015 |
| Last updated in NPPES | Oct 18, 2024 |
| Certified by provider | Oct 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | AY1974 | FL |
| Audiologist | 231H00000X | 7987 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (SC) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Bon Secours Medical Group Greenville Specialty Care LLCGreenville, SC · 292 clinicians
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