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

The Longstreet Clinic PC

Organization Prosthetic/Orthotic Supplier · NPI 1053422428

The Longstreet Clinic PC is a Prosthetic/Orthotic Supplier in Gainesville, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

725 Jesse Jewell Pkwy SE Ste 395
Gainesville, GA 30501-3834
Phone: (770) 533-6680
Fax: (770) 533-6681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1053422428
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Longstreet Clinic, PC
Authorized official Amelia Collins — Ceo · (770) 718-1122
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing addressPo Box 658, Gainesville, GA 30503-0658

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