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KATHRYN ELIZABETH LONG M.D.
NPI 1083623672
Family Medicine - Adult Medicine in Charlotte, NC

Active since August 05, 2006CLIA 34D2130271 · Waiver
1338 HUNDRED OAKS DR, SUITE B, CHARLOTTE, NC 28217(704) 910-2250(704) 817-8539 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathryn Elizabeth Long M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN ELIZABETH LONG M.D. (NPI 1083623672) is an individual adult medicine provider in Charlotte, North Carolina, licensed in North Carolina (200100065) and active in the NPI registry since August 2006. She holds a CLIA Waiver certificate valid through May 4, 2027.

NPPES Registry Identity

NPI1083623672
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameKATHRYN ELIZABETH LONGCredential: M.D.
Location Address1338 HUNDRED OAKS DR, SUITE BCharlotte, NC 28217-4051
Mailing Address1827 Chestnut AveCharlotte, NC 28205-3017 · (704) 910-2250 · Fax (704) 817-8539
Phone(704) 910-2250
Fax(704) 817-8539
Sole ProprietorYes
Enumeration DateAugust 5, 2006
Last NPPES UpdateApril 20, 2017
✔ NPI 1083623672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NC · 200100065
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 200100065 (NC)
1338 HUNDRED OAKS DR, Charlotte, NC 28217
Open in Google Maps ↗

Other Identifiers 1

Other81-5479717NC · Ein

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2130271

Kathryn E Long, MD, PLLC · Charlotte, NC
Active · expires May 4, 2027
CLIA Number34D2130271
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorKathryn E. Long
Laboratory Phone(704) 910-2250
Laboratory LocationKathryn E Long, MD, PLLC8731 Red Oak Blvd, Suite 100, Charlotte, NC 28217
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXES DANIELLE WILLIAMS
Assistant Behavior Analyst
1338 HUNDRED OAKS DR
CHARLOTTE, NC 28217
Mecklenburg County (980) 422-5887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Long's NPI number?

The NPI number for Kathryn Long is 1083623672. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Kathryn Long located?

Kathryn Long practices at 1338 Hundred Oaks Dr Suite B, Charlotte, NC 28217. The listed phone number is (704) 910-2250.

What is Kathryn Long's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Kathryn Long hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2130271) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kathryn Long was last updated on April 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.