NPI age
19 years
Enumerated 2006-08-31
● Active Type 2 · Organization
Subpart
The Longstreet Clinic Pc
The Longstreet Clinic Pc is 1 of 408 prosthetic/orthotic supplier organizations in Georgia.
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Collins
Ceo
Last NPPES update
2025-08-06
Source: monthly bulk 2026-05
How this organization compares
Across 408 active prosthetic/orthotic supplier providers in Georgia.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
725 Jesse Jewell Pkwy Se Ste 395
Gainesville, GA 305013834
Mailing address
Po Box 658
Gainesville, GA 305030658
Authorized official
Amelia Lowe Collins
Ceo
📞 7707181122
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 439568713A |
Practice context
Single-site organization. Only one practice location on file.
Subpart of The Longstreet Clinic, Pc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.