Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Long, PA-C

Individual provider Physician Assistant · NPI 1629512645

Nicholas Long, PA-C is a Physician Assistant in Fort Worth, Texas. Qualified in 2016, 10 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group and accepts Medicare assignment. Licensed in Indiana and Texas.

Years since qualifying
10
Licensed in
IN, TX
In the registry since
2016
Specialties on file
2
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

6301 Harris Pkwy Ste 300
Fort Worth, TX 76132-4266
Phone: (817) 877-3432
Fax: (817) 346-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19181 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 10002175A (IN)

Record details

NPI number1629512645
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 9, 2016
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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