NPIMap

Individual provider Active NPI

William Long, M.D.

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1992778906
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25614 Issued in NC
Practice address
8401 Medical Plaza Dr
Suite 300
Charlotte, NC 28262-8797
Phone
(704) 316-1800
Fax
(704) 316-1773
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25614 NC
Internal Medicine Physician 207R00000X 25614 NC
Family Medicine Physician 207Q00000X 25614 NC Primary

Addresses

Primary practice location

8401 Medical Plaza Dr
Suite 300
Charlotte, NC 28262-8797

Mailing address

8401 Medical Plaza Dr
Ste 365
Charlotte, NC 28262-8700
Phone (704) 384-7840

Other identifiers 2

IdentifierTypeStateIssuer
N25614MedicaidSC
8952803MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000668 NC Practitioner - Family PracticePractitioner - Geriatric Medicine 5698813798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Medical College of Georgia School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians
Medical Plaza Family and Geriatric Physicians PAGroup PAC ID 4385885706, 5 clinicians

Practice addresses (Care Compare)

7482 Waterside Crossing Blvd
Suite 103
Denver, NC 28037-3006
Phone (704) 827-0598

8401 Medical Plaza Dr
Suite 365
Charlotte, NC 28262-8700
Phone (704) 944-0975

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Charlotte, NC, CCN 347091
  • Continuum Home Care & Hospice Hospice, Jacksonville, NC, CCN 341582
  • Liberty Home Care II, LLC Hospice, Raeford, NC, CCN 341537
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Clear Creek Nursing & Rehabilitation Center Nursing home, Mint Hill, NC, CCN 345562
  • Pavilion Health Center at Brightmore Nursing home, Charlotte, NC, CCN 345563

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10342NCMDDentist
25614NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Plaza Family & Geriatric Physicians, PA CurrentSince Jul 1, 2013 Accepting new patients
Spruce LTC Group, LLC Past Accepting new patients
Liberty Healthcare Group, LLC Past Accepting new patients
Charlotte Operator LLC Past Accepting new patients

Locations

8401 Medical Plaza Dr
Ste 365
Charlotte, NC 28262
Phone (704) 944-0975

8401 Medical Plaza Dr
Ste 300
Charlotte, NC 28262
Phone (704) 316-1800

8401 Medical Plaza Dr
Charlotte, NC 28262
Phone (704) 208-4458

8401 Medical Plaza Dr
Ste 250
Charlotte, NC 28262
Phone (704) 384-1500

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clear Creek Nursing and Rehabilitation CenterMint Hill, NC, CCN 345562 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF		 Jan 1, 2025
May 16, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1992778906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR",
            "address_2": "STE 365",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628700",
            "telephone_number": "704-384-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628797",
            "telephone_number": "704-316-1800",
            "fax_number": "704-316-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "25614",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "25614",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "25614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N25614",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8952803",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.