Individual provider Active NPI

Susanna Long Haley, PA

  • Medical Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1124668231
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-09668 Issued in NC
Practice address
3716 Morganton Dr
Suite 1
Fayetteville, NC 28303-4963
Phone
(910) 565-5156
Fax
(910) 500-5813
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 0010-09668 NC Primary

Addresses

Primary practice location

3716 Morganton Dr
Suite 1
Fayetteville, NC 28303-4963

Mailing address

905 Emeline Ave
Fayetteville, NC 28303-5421
Phone (910) 308-9843

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
I20230822004208 NC Practitioner - Physician Assistant 3678936796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-6 LLCGroup PAC ID 5294990123, 6 clinicians

Practice addresses (Care Compare)

3716 Morganton Rd
Suite 1
Fayetteville, NC 28303-4963
Phone (910) 878-5150

4565 Fayetteville Rd
B
Raeford, NC 28376-7998
Phone (910) 878-5150

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score
92.75 of 100Reported as group
Quality
95.44
Promoting interoperability
87
Improvement activities
40
Cost
82.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-6, LLC Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
MCPC-6, LLC Single Specialty CurrentSince Aug 1, 2023 Accepting new patients

Locations

3716 Morganton Rd
Ste 1
Fayetteville, NC 28303
Phone (910) 715-8700

4565 Fayetteville Rd
#B
Raeford, NC 28376
Phone (910) 878-5150

1227 Carthage St
Sanford, NC 27330
Phone (919) 774-0502

Interoperability endpoints

  • Direct secure messaging: shaley115019@firsthealth.direct-ci.net

Organizations & group practices 3

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1124668231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 EMELINE AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035421",
            "telephone_number": "910-308-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 MORGANTON DR",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034963",
            "telephone_number": "910-565-5156",
            "fax_number": "910-500-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "SUSANNA",
        "middle_name": "LONG",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-09668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.