Individual provider Active NPI

Carl Edward Long Jr., PA-C

  • Medical Physician Assistant
  • Fort Liberty, NC
National Provider Identifier
1871564815
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1053572
Practice address
2817 Rocket Merritt Ave
Fort Liberty, NC 28310-5005
Phone
(910) 907-8922
Fax
(910) 907-6069
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1053572 Primary

Addresses

Primary practice location

2817 Rocket Merritt Ave
Fort Liberty, NC 28310-5005

Mailing address

2817 Rocket Merritt Ave
Fort Liberty, NC 28310-5005

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
I20250210000599 NC Practitioner - Physician Assistant 0547164147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-8 LLCGroup PAC ID 3870740012, 47 clinicians

Practice addresses (Care Compare)

103 Marketplace Dr
Suite 101
Sanford, NC 27332-7905
Phone (919) 897-2250

1690 US Hwy 1 S
Suite 100
Southern Pines, NC 28387-7037
Phone (910) 684-5066

225 Capital Dr
Suite 101
Carthage, NC 28327-6261
Phone (910) 215-5100

2919 Beechtree Dr
Sanford, NC 27330-6934
Phone (919) 897-2260

3716 Morganton Rd
Suite 2
Fayetteville, NC 28303-4963
Phone (910) 215-5100

4565 Fayetteville Rd
Raeford, NC 28376-7998
Phone (910) 878-5100

7473 NC Hwy 22
Whispering Pines, NC 28327-8514
Phone (910) 215-5100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC CurrentSince Mar 1, 2025 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
Takecare Ins Co Inc PastSince Jan 1, 1990 Accepting new patients
Takecare Insurance Company, Inc. PastSince Jan 1, 1990 Accepting new patients
Takecare Insurance Company Inc PastSince Jan 1, 1990 Accepting new patients
Takecare Insurance Company Inc PastSince Jan 1, 1990 Accepting new patients

Locations

208 W Salisbury St
Ste A
Asheboro, NC 27203
Phone (336) 523-0040

225 Capital Dr
Ste 101
Carthage, NC 28327
Phone (910) 215-5100

3716 Morganton Rd
Ste 2
Fayetteville, NC 28303
Phone (910) 215-5100

1021 W Hamlet Ave
Hamlet, NC 28345
Phone (910) 417-4100

150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200

4565 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-5100

1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250

1690 US Highway 1 S
Ste 100
Southern Pines, NC 28387
Phone (910) 684-2055

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Interoperability endpoints

  • Direct secure messaging: clong124817@firsthealth.direct-ci.net

Organizations & group practices 9

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1871564815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCKET MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283105005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCKET MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283105005",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CARL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "1053572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Liberty, NC

Sources for this page

Verify at the official NPI Registry.