MR. CARL EDWARD LONG PA-C NPI 1871564815

NPI Information

  • NPI: 1871564815
  • Provider Name: MR. CARL EDWARD LONG, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2817 ROCKET MERRITT AVE
    FORT LIBERTY, NC
    ZIP 28310
  • Phone: (910) 907-8922

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NPI Details

MR. Carl Edward Long, PA-C is a medical physician assistant in Fort Liberty, NC with 24 years of experience. MR. Carl Edward Long, PA-C NPI is 1871564815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2817 ROCKET MERRITT AVE
FORT LIBERTY, NC
ZIP 28310-005
Phone: (910) 907-8922
Fax: (910) 907-6069

The NPI 1871564815 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 1/28/2006 and was last updated on 1/30/2025.

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
1363AM0700XPhysician AssistantMedical1053572Yes

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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