OrganizationNortheast Georgia Community Physicians Llc Longstreet Of Nghs(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address743 Spring St NE, Gainesville, GA 30501-3715(770) 219-2394PECOS EnrollmentBased on the most recent information from CMS, provider Northeast Georgia Community Physicians Llc Longstreet Of Nghs does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1881583730Provider TypeOrganizationFull NameNortheast Georgia Community Physicians Llc Longstreet Of NghsOther Name<Unavail>SubpartYesEnumeration Date7/2/2025Last Updated7/3/2025Contact InformationPractice LocationPractice Address743 Spring St NE, Gainesville, GA 30501-3715Phone(770) 219-2394FaxUnlisted FaxMailing LocationMailing Address743 Spring St NE, Gainesville, GA 30501-3715Phone(770) 219-2394FaxUnlisted FaxAuthorized OfficialNameWhite, Lindsey (Team Lead / Provider Enrollment)Phone(770) 219-2394Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer