OrganizationActive
The Longstreet Clinic PC
NPI 1053422428 · Prosthetic/Orthotic Supplier · Gainesville, GA
The Longstreet Clinic PC is a Prosthetic/Orthotic Supplier organization in Gainesville, GA (NPI 1053422428).
Provider details
- NPI number
- 1053422428
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Parent organization
- The Longstreet Clinic, PC
- Organization subpart
- Yes
- Authorized official
- Amelia Collins, Ceo(770) 718-1122
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
725 Jesse Jewell Pkwy Se Ste 395
Gainesville, GA 30501-3834
Phone: (770) 533-6680
Fax: (770) 533-6681
Street-level locationGet directions
Mailing address
Po Box 658
Gainesville, GA 30503-0658
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Frequently asked questions
- What is The Longstreet Clinic PC's NPI number?
- The Longstreet Clinic PC's National Provider Identifier (NPI) is 1053422428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Longstreet Clinic PC?
- The Longstreet Clinic PC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is The Longstreet Clinic PC located?
- The Longstreet Clinic PC's practice location on file with NPPES is 725 Jesse Jewell Pkwy Se Ste 395, Gainesville, GA 30501-3834.
- What is The Longstreet Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for The Longstreet Clinic PC is (770) 533-6680.
- Who is the authorized official for The Longstreet Clinic PC?
- The authorized official listed on The Longstreet Clinic PC's NPPES record is Amelia Collins, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Longstreet Clinic PC's NPI active?
- Yes — The Longstreet Clinic PC's NPI (1053422428) is active in the NPPES registry as of the last update on 2025-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.