CHARLES WYATT LONG MD NPI 1417482167

NPI Information

  • NPI: 1417482167
  • Provider Name: CHARLES WYATT LONG, MD
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 212 THOMPSON ST STE C
    HENDERSONVILLE, NC
    ZIP 28792
  • Phone: (704) 576-3356

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NPI Details

Charles Wyatt Long, MD is an adult reconstructive orthopaedic surgery orthopaedic surgery in Hendersonville, NC with 7 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Charles Wyatt Long, MD NPI is 1417482167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

212 THOMPSON ST STE C
HENDERSONVILLE, NC
ZIP 28792-895
Phone: (704) 576-3356

The NPI 1417482167 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2017 and was last updated on 7/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery100276GEORGIANo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery2025-01701NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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