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THE LONGSTREET CLINIC PC
NPI 1053422428
Prosthetic/Orthotic Supplier in Gainesville, GA

Active since August 31, 2006
725 JESSE JEWELL PKWY SE STE 395, GAINESVILLE, GA 30501(770) 533-6680(770) 533-6681 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2025, Apr 11, 2024 (2 updates tracked since 2024).

About The Longstreet Clinic Pc NPPES

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

THE LONGSTREET CLINIC PC (NPI 1053422428) is a healthcare organization registered as a prosthetic/orthotic supplier in Gainesville, Georgia and active in the NPI registry since August 2006. The organization lists Amelia Lowe Collins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053422428
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameTHE LONGSTREET CLINIC PC
Location Address725 JESSE JEWELL PKWY SE STE 395Gainesville, GA 30501-3834
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 535-7445
Phone(770) 533-6680
Fax(770) 533-6681
Organization SubpartYesParent: The Longstreet Clinic, Pc
Authorized OfficialAmelia Lowe CollinsCeo · (770) 718-1122
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1053422428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
725 JESSE JEWELL PKWY SE STE 395, Gainesville, GA 30501
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Other Identifiers 1

Medicaid439568713AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness 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.

NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
Prosthetic/Orthotic Supplier
725 JESSE JEWELL PKWY SE STE 395
GAINESVILLE, GA 30501
Hall County (770) 533-6680

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 The Longstreet Clinic PC's NPI number?

The NPI number for The Longstreet Clinic PC is 1053422428. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is The Longstreet Clinic PC located?

The Longstreet Clinic PC is located at 725 Jesse Jewell Pkwy SE Ste 395, Gainesville, GA 30501. The listed phone number is (770) 533-6680.

What is The Longstreet Clinic PC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

What insurance does The Longstreet Clinic PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 18 other insurers list The Longstreet Clinic PC 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 The Longstreet Clinic PC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.