SALLIE MARTIN LONG NPI 1548788482

NPI Information

  • NPI: 1548788482
  • Provider Name: SALLIE MARTIN LONG
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1120 15TH ST
    AUGUSTA, GA
    ZIP 30912
  • Phone: (706) 721-8623

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NPI Details

Sallie Martin Long is a plastic surgery within the head and neck otolaryngology in Augusta, GA with 8 years of experience. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. Sallie Martin Long NPI is 1548788482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1120 15TH ST
AUGUSTA, GA
ZIP 30912-002
Phone: (706) 721-8623
Fax: (706) 721-1459

The NPI 1548788482 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2017 and was last updated on 8/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyME159941FLORIDANo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck98473GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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