NPIMap

Individual provider Active NPI

Christopher Matthew Long, M.D./PH.D.

  • Diagnostic Radiology Physician
  • Raleigh, NC
National Provider Identifier
1790076347
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2015-02078 Issued in NC
Practice address
3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087
Phone
(919) 781-1437
NPI assigned
Apr 29, 2011
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101270954 VA
Diagnostic Radiology Physician 2085R0202X 2015-02078 NC Primary
Vascular & Interventional Radiology Physician 2085R0204X 2015-02078 NC

Addresses

Primary practice location

3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087

Mailing address

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 256-3576

Other practice location 1

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 200-5047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170731002512 NC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5092086686 Reassigns benefits to 8 organizations
I20201202000397 SC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5092086686 Reassigns benefits to 2 organizations
I20201204000576 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5092086686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Johns Hopkins University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Radiology Wakemed Imaging, LLCGroup PAC ID 8325453459, 57 clinicians
Raleigh Radiology Associates IncGroup PAC ID 6800874611, 58 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Raleigh Radiology LLCGroup PAC ID 6305739707, 61 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

11640 Northpark Dr
Suite 110
Wake Forest, NC 27587-5741
Phone (919) 781-1437

1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-7000

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

2000 Hospital Dr
Mt Pleasant, SC 29464-3764
Phone (843) 881-0100

3200 Blue Ridge Rd
Suite 100
Raleigh, NC 27612-8087
Phone (919) 781-1437

405 Bolton Grant Dr
Cary, NC 27519-0524
Phone (434) 200-5047

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

501 S Poplar Strret
Elizabethtown, NC 28337-9375
Phone (910) 862-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2015-02078NCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Radiology P a Diagnostic Radiology CurrentSince Oct 8, 2025 Accepting new patients
Medical Imaging Center, LLC CurrentSince Dec 3, 2025 Accepting new patients
Columbus Regional Healthcare System CurrentSince Aug 9, 2025 Accepting new patients
Columbus Regional Healthcare System CurrentSince Aug 9, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Sep 25, 2025 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Sep 25, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Jun 15, 2023 Accepting new patients
Raleigh Radiology Associates, Inc. Diagnostic Radiology CurrentSince Aug 27, 2017 Accepting new patients
Raleigh Radiology Wakemed Imaging, LLC Diagnostic Radiology Current Accepting new patients
Raleigh Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients

Locations

150 Parkway Office Ct
Ste 100
Cary, NC 27518

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

11618 Clayton Blvd
Ste 102
Clayton, NC 27520

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

601 Attain St
#100
Fuquay Varina, NC 27526

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1121 Situs Ct
Ste 170
Raleigh, NC 27606
Phone (919) 834-2767

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3200 Blue Ridge Rd
Ste 100
Raleigh, NC 27612
Phone (919) 256-3576

5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581

11640 Northpark Dr
Ste 110
Wake Forest, NC 27587

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: christopher.long@direct.raleighrad.nchie.net

Organizations & group practices 11

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.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1790076347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 GREENS DAIRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164612",
            "telephone_number": "919-256-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "919-781-1437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Tate Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011109",
            "country_code": "US",
            "telephone_number": "434-200-5047",
            "fax_number": "434-200-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHRISTOPHER",
        "middle_name": "MATTHEW",
        "credential": "M.D./PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101270954",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2015-02078",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "2015-02078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.