Individual provider Active NPI

Terresa Ann Long, NP

  • Nurse Practitioner
  • Sunset Beach, NC
National Provider Identifier
1932413747
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5004840 Issued in NC
Practice address
710 Sunset Blvd N Ste a
Sunset Beach, NC 28468-4340
Phone
(910) 663-2273
Fax
(910) 663-4050
NPI assigned
Aug 4, 2010
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Nurse Practitioner 363L00000X 5004840 NC Primary

Addresses

Primary practice location

710 Sunset Blvd N Ste a
Sunset Beach, NC 28468-4340

Mailing address

PO Box 2123
Bryson City, NC 28713-5123
Phone (910) 490-0490

Other practice location 1

1067 13th St SE
Hickory, NC 28602-4165
Phone (828) 358-2090

Other practice location 2

805 S Madison St
Whiteville, NC 28472-4613
Phone (910) 663-2273

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
I20100913000506 NC Practitioner - Nurse Practitioner 8729103981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Comprehensive Care PAGroup PAC ID 9436496536, 4 clinicians

Practice addresses (Care Compare)

805 S Madison St
Whiteville, NC 28472-4613
Phone (910) 663-2273

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Jan 16, 2014 Accepting new patients
Coastal Comprehensive Care PA Family CurrentSince Oct 1, 2018 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Wake Forest Health Network LLC CurrentSince Jan 16, 2014 Accepting new patients
Coastal Comprehensive Care PA Family CurrentSince Oct 1, 2018 Accepting new patients

Locations

1067 13th St SE
Hickory, NC 28602
Phone (828) 358-2090

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

710 Sunset Blvd N
Sunset Beach, NC 28468
Phone (910) 575-3923

710 Sunset Blvd N
Ste A
Sunset Beach, NC 28468
Phone (910) 575-3923

805 S Madison St
Whiteville, NC 28472
Phone (910) 316-4352

145 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 768-6347

Interoperability endpoints

  • Direct secure messaging: terresa.long.1@16710.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1932413747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2123",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287135123",
            "telephone_number": "910-490-0490",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SUNSET BLVD N STE A",
            "city": "SUNSET BEACH",
            "state": "NC",
            "postal_code": "284684340",
            "telephone_number": "910-663-2273",
            "fax_number": "910-663-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1067 13th St SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286024165",
            "country_code": "US",
            "telephone_number": "828-358-2090",
            "fax_number": "910-663-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284724613",
            "country_code": "US",
            "telephone_number": "910-663-2273",
            "fax_number": "910-663-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "TERRESA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunset Beach, NC

Sources for this page

Verify at the official NPI Registry.