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

Calvin Edward Defenbau IV, NP-C

Individual provider Family Nurse Practitioner · NPI 1265927362

Calvin Edward Defenbau IV, NP-C is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2018, 8 years ago. Practices with The Longstreet Clinic, PC, a 142-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone: (678) 207-4373
Fax: (770) 533-4727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 122 Shirley Rd, Americus, GA 31709 — (229) 942-9043

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP209756 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN209756 (GA)

Record details

NPI number1265927362
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 30, 2018
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Longstreet Clinic, Pc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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