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MR. CHARLES WILBURN LONG III PMHNP-BC
NPI 1912599309
Nurse Practitioner - Psychiatric/Mental Health in Birmingham, AL

Active since February 07, 2021
2501 INTERNATIONAL PARK DR, BIRMINGHAM, AL 35243(205) 813-7400 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2022, Feb 7, 2021 (2 updates tracked since 2021).

About Mr. Charles Wilburn Long Iii Pmhnp-bc NPPES

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

MR. CHARLES WILBURN LONG III PMHNP-BC (NPI 1912599309) is an individual psychiatric/mental health provider in Birmingham, Alabama, licensed in Alabama (1-141931) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1912599309
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. CHARLES WILBURN LONG IIICredential: PMHNP-BC
Location Address2501 INTERNATIONAL PARK DRBirmingham, AL 35243-4253
Mailing Address2501 International Park DrBirmingham, AL 35243-4253 · (205) 813-7400
Phone(205) 813-7400
Sole ProprietorYes
Enumeration DateFebruary 7, 2021
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1912599309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AL · 1-141931
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-141931 (AL)
2501 INTERNATIONAL PARK DR, Birmingham, AL 35243
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

DANE MCDERMOTT RN
Registered Nurse
2501 INTERNATIONAL PARK DR
BIRMINGHAM, AL 35243
Jefferson County (205) 813-7400
BIRMINGHAM RECOVERY CENTER INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
2501 INTERNATIONAL PARK DR
BIRMINGHAM, AL 35243
Jefferson County (205) 813-7400
DR. TIMOTHY LEWIS CARPENTER D.O.
Psychiatry & Neurology (Psychiatry)
2501 INTERNATIONAL PARK DR
BIRMINGHAM, AL 35243
Jefferson County (205) 813-7400
CHRIS SIGVALDSON LMSW
Counselor (Addiction (Substance Use Disorder))
2501 INTERNATIONAL PARK DR
BIRMINGHAM, AL 35243
Jefferson County (205) 813-7400
MR. THOMAS D SMITH JR. LMSW
Counselor (Addiction (Substance Use Disorder))
2501 INTERNATIONAL PARK DR
BIRMINGHAM, AL 35243
Jefferson County (205) 813-7400
VENECIA SUMMERVILLE MSW
Counselor (Addiction (Substance Use Disorder))
2501 INTERNATIONAL PARK DR
BIRMINGHAM, AL 35243
Jefferson County (205) 813-7400
MS. AMY SHERRILL RAST LPC
Counselor (Professional)
2501 INTERNATIONAL PARK DR
BIRMINGHAM, AL 35243
Jefferson County (205) 813-7400
MRS. KAYLA RHODES BURTON LICSW
Social Worker (Clinical)
2501 INTERNATIONAL PARK DR
BIRMINGHAM, AL 35243
Jefferson County (205) 813-7400

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 Charles Long's NPI number?

The NPI number for Charles Long is 1912599309. It was assigned to this individual provider in the NPPES registry on February 7, 2021.

Where is Charles Long located?

Charles Long practices at 2501 International Park Dr, Birmingham, AL 35243. The listed phone number is (205) 813-7400.

What is Charles Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Charles Long accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Charles Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Long was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.