1. Home
  2. Directory
  3. Alabama
  4. Birmingham
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since February 07, 2021
135 GEMINI CIR, BIRMINGHAM, AL 35209(205) 201-0658(205) 293-2270 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Sep 27, 2022, Feb 7, 2021 (3 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. He maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1912599309
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. CHARLES WILBURN LONG IIICredential: PMHNP-BC
Location Address135 GEMINI CIRBirmingham, AL 35209-5842
Mailing Address135 Gemini CirBirmingham, AL 35209-5842 · (205) 201-0658 · Fax (205) 293-2270
Phone(205) 201-0658
Fax(205) 293-2270
Sole ProprietorYes
Enumeration DateFebruary 7, 2021
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ 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)
135 GEMINI CIR, Birmingham, AL 35209
Open in Google Maps ↗

Secondary Practice Location 1

Location 12501 International Park DrBirmingham, AL 35243-4253 · Phone (844) 810-7340 · Fax (205) 813-7405

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

BYRAM HEALTHCARE CENTERS, INC.
Durable Medical Equipment & Medical Supplies
135 GEMINI CIR, SUITE 218
BIRMINGHAM, AL 35209
Jefferson County (205) 945-7582

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 135 Gemini Cir, Birmingham, AL 35209. The listed phone number is (205) 201-0658.

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 of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer 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 October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.