Physician Assistant, Surgical
KATHERINE LONG PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1134495484 · enumerated 2012-03-30 · record updated 2018-03-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN, 38120-9446 (901) 227-3255 Fax (901) 227-8591 Google Maps Apple Maps OpenStreetMap
- Practice location 1225 N STATE ST, SURGERY, JACKSON, MS, 39202-2064 (601) 968-7047 Fax (601) 968-4133 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License TPA0023 MS
In this directory
Locations and evidence
-
Practice location
JACKSON, MS, 392022064
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.