Charles Wyatt Long, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

2025-01701 Issued in NC

Practice address

212 Thompson St Ste C
Hendersonville, NC 28792-2895

Phone

(704) 576-3356

NPI assigned

May 1, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

University of Louisville School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henderson County Hospital CorporationGroup PAC ID 8123938115, 231 clinicians

Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Marion, NC, CCN 347044
• Pardee Home Care Home health agency, Flat Rock, NC, CCN 347028
• Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017

Merit-based Incentive Payment System (MIPS)

Final score

79.29 of 100Reported as group

Quality

67.84

Promoting interoperability

73

Improvement activities

40

Cost

85.62

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Henderson County Hospital Corporation

  • Multi-Specialty Clinic/Center
  • Hendersonville, NC
  • NPI 1447444559

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Henderson County Hospital Corporation

  • Community/Retail Pharmacy
  • Hendersonville, NC
  • NPI 1013694165
  NPD
• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

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

• Caresouth HHA Holdings of Western Carolina, LLC

  • Home Health Agency
  • Marion, NC
  • NPI 1013996552
  Care Compare affiliation
• Henderson County Hospital Corporation

  • General Acute Care Hospital
  • Hendersonville, NC
  • NPI 1144247982
  Care Compare affiliation
• Henderson County Hospital Corporation

  • Home Health Agency
  • Flat Rock, NC
  • NPI 1720001688
  Care Compare affiliation

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1417482167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 THOMPSON ST STE C",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922895",
            "telephone_number": "704-576-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 THOMPSON ST STE C",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922895",
            "telephone_number": "704-576-3356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Preston St Rm 305",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021702",
            "country_code": "US",
            "telephone_number": "502-852-8696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Howard Farm Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300416081",
            "country_code": "US",
            "telephone_number": "770-758-8964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHARLES",
        "middle_name": "WYATT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "100276",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NC",
            "license": "2025-01701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Alexander Lockwood, LCSW
• Natalie Camby Loftin
• Rhonda Janice Loftis, LPC
• Melissa Sims Logan, M.D.
• William Henry Logan III, DMD
• Julia Long
• Looking Glass Eye Center P a
• Jennifer Lopez-Miranda
• Johanna Maria Lopez, D.D.S.
• Marylus Lopez, RN

• Adult Reconstructive Orthopaedic Surgery Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.