Charles W Long, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0032772 Issued in NC

Practice address

8800 N Tryon St
Charlotte, NC 28262-3300

Phone

(704) 548-5663

Fax

(704) 548-6997

NPI assigned

Oct 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDEHDD

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.

• American Anesthesiology of North Carolina, PLLC

  • Anesthesiology Physician
  • Wilmington, NC
  • NPI 1033412267
  Medicare reassignment NPD
• CHS Anesthesia Services Group Inc

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1346649415
  Medicare reassignment NPD
• Southeast Anesthesiology Consultants, PLLC

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1538124201
  Medicare reassignment NPD
• American Anesthesiology of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Burlington, NC
  • NPI 1053677195

  Anesthesiology

  NPD
• American Anesthesiology of North Carolina, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Monroe, NC
  • NPI 1174817993
  NPD
• Southeast Anesthesiology Consultants, PLLC

  • Anesthesiology Physician
  • Wilmington, NC
  • NPI 1932402195
  NPD
• The Endocrine and Diabetes Center PSC.

  • Endocrinology, Diabetes & Metabolism Physician
  • Owensboro, KY
  • NPI 1275782328
  NPD
• Southeast Anesthesiology Consultants of Virginia, PLLC

  • Anesthesiology Physician
  • Norfolk, VA
  • NPI 1033242235
  NPD (past)
• Southeast Pain & Spine Care Specialists, LLC

  • Interventional Pain Medicine Physician
  • Norfolk, VA
  • NPI 1558179689
  NPD (past)
• Vdex Medical Group - Cheng

  • Internal Medicine Physician
  • Canoga Park, CA
  • NPI 1174019368
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1942298401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014601",
            "telephone_number": "828-213-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623300",
            "telephone_number": "704-548-5663",
            "fax_number": "704-548-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "0032772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8952588",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032772",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Londry & Modlin III, DDS, PLLC
• Londyn Homecare Agency L.L.C
• Long ,Laxer & Savage DDS, PLLC
• Bobbie Fish Long, RD
• Brian K Long, M.D.
• Christopher Allen Long, PT, DPT
• Clayton Vance Long, MD
• Elizabeth Perry Long, IBCLC
• Felicia Nicole Long
• Hailey Long

• Anesthesiology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.