Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Travis David Long, PA

Medical Physician Assistant in Orange City, FL · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104262781

Verified

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Registry record

Entity type Individual (Type 1)

Name Travis David Long

Credential PA

Sex Male

Practice address 2565 Enterprise Rd Ste 400, Orange City, FL, 32763

Phone (321) 841-6444

Fax (321) 842-1955

Enumeration date May 22, 2013

Last updated in NPPES May 12, 2026

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9107114 (FL) Secondary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9107114 (FL) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
0089009-00	Medicaid	FL	-
003135044A	Medicaid	GA	-
008900900	Medicaid	FL	-
Y0HL0	Other	FL	BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1104262781 active?

Yes, as of the latest NPPES snapshot, NPI 1104262781 is active (record last updated 2026-05-12).

How do I verify Travis Long's NPI record?

Cross-check NPI 1104262781 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-12.