Individual provider Active NPI

Stephanie Renee Long, FNP

  • Family Nurse Practitioner
  • Canton, NC
National Provider Identifier
1003531153
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017021 Issued in NC
Practice address
55 Buckeye Cove Rd
Canton, NC 28716-4511
Phone
(828) 564-8028
NPI assigned
Oct 10, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5017021 NC Primary

Addresses

Primary practice location

55 Buckeye Cove Rd
Canton, NC 28716-4511

Mailing address

55 Buckeye Cove Rd
Canton, NC 28716-4511
Phone (828) 564-8028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221129002584 NC Practitioner - Nurse Practitioner 0446628242 Reassigns benefits to 11 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Community Health Services, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. Current Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Dec 1, 2022 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Apr 1, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Apr 1, 2024 Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince Dec 1, 2022 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince May 16, 2025 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Blue Ridge Community Health Services Inc. CurrentSince Apr 1, 2024 Accepting new patients
Blue Ridge Community Health Services Inc CurrentSince Apr 1, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Apr 1, 2024 Accepting new patients
Blue Ridge Community Health Services, Inc CurrentSince Apr 1, 2024 Accepting new patients
Blue Ridge Community Health Services Inc Current Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince May 16, 2025 Accepting new patients
Haywood Women's Medical Center, PA Past Accepting new patients

Locations

303 Airport Rd
Arden, NC 28704
Phone (828) 698-2979

29 W French Broad St
Ste 202
Brevard, NC 28712
Phone (828) 883-5550

264 Highway 19 S
Ste 4
Bryson City, NC 28713
Phone (828) 341-1060

55 Buckeye Cove Rd
Canton, NC 28716
Phone (828) 342-3894

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

490 Hospital Dr
Clyde, NC 28721
Phone (828) 246-6372

161 Walker St
Columbus, NC 28722
Phone (828) 894-2222

628 7th Ave E
Hendersonvlle, NC 28792
Phone (828) 696-8263

709 N Justice St
Ste B
Hendersonvlle, NC 28791
Phone (828) 696-1255

209 Hospital Dr
Highlands, NC 28741
Phone (828) 482-6160

187 W Main St
Spindale, NC 28160
Phone (828) 288-2881

293 Hospital Rd
Ste B
Sylva, NC 28779
Phone (828) 631-8711

293 Hospital Rd
Ste C
Sylva, NC 28779
Phone (828) 477-4334

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

556 Hazelwood Ave
Waynesville, NC 28786
Phone (828) 452-8890

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1003531153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BUCKEYE COVE RD",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287164511",
            "telephone_number": "828-564-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BUCKEYE COVE RD",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287164511",
            "telephone_number": "828-564-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NC

Sources for this page

Verify at the official NPI Registry.