Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Long, PA-C

Individual provider Physician Assistant · NPI 1124586581

John Long, PA-C is a Physician Assistant in Fort Stewart, Georgia. Qualified in 2019, 7 years ago. Practices with Caldwell Memorial Hospital Inc, a 215-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone: (704) 301-9526
Fax: (912) 435-5966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124586581
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 5, 2019
Last updated in NPPESMarch 5, 2019
Mailing address1061 Harmon Ave, Fort Stewart, GA 31314-5641

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Caldwell Memorial Hospital Inc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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