Michelle Johnson Nastav (NPI# 1194283531, PAC ID# 4385985563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194283531 |
| PAC ID by PECOS | 4385985563 |
| Professional Enrollment ID | I20190417000214 |
| Full Name | Michelle Johnson Nastav |
| Organization Legal Name | THE LONGSTREET CLINIC, PC |
| Address |
4222 Fairbanks Dr Oakwood GA 30566-2811 |
| Phone Number | 7705346053 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668465733 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 4222 Fairbanks Dr, Oakwood, GA 30566-2811 | 7705346053 | THE LONGSTREET CLINIC, PC |
| Organization Legal Name | THE LONGSTREET CLINIC, PC |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evgenia Korytnaya | Endocrinology | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 |
| Hugh Colby Cornelson | Nurse Practitioner | The Longstreet Clinic, PC | 655 Jesse Jewell Pkwy Se, Suite A, Gainesville, GA 30501-3854 |
| Erica Mcdaniel Abney | Physician Assistant | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Karl D Schultz | Neurosurgery | The Longstreet Clinic, PC | 1240 Jesse Jewell Sepkwy, Suite 300, Gainesville, GA 30501-3861 |
| Andrew B Reisman | Family Medicine | The Longstreet Clinic, PC | 4222 Fairbanks Dr, Oakwood, GA 30566-2811 |
| David A Bray | Internal Medicine | The Longstreet Clinic, PC | 541 Historic Hwy 441-n, Demorest, GA 30535 |
| Mark D Clark | Nurse Practitioner | The Longstreet Clinic, PC | 725 Jesse Jewell Sepkwy, Suite 300, Gainesville, GA 30501-3846 |
| Eileen Dalmacio Javellana | Internal Medicine | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Brandi N Monroe | Physician Assistant | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Jeanette Susan Pirkle | Nurse Practitioner | The Longstreet Clinic, PC | 725 Jesse Jewell Pkwy, Suite 150, Gainesvilel, GA 30501-3834 |
| Street Address |
4222 FAIRBANKS DR |
| City | OAKWOOD |
| State | GA |
| Zip | 30566-2811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew B Reisman | Family Medicine | The Longstreet Clinic, PC | 4222 Fairbanks Dr, Oakwood, GA 30566-2811 |
| Elizabeth Belle Wheeler | Nurse Practitioner | The Longstreet Clinic, PC | 4222 Fairbanks Dr, Oakwood, GA 30566-2811 |
| Neda Marie Jackson Lawson | Nurse Practitioner | The Longstreet Clinic, PC | 4222 Fairbanks Dr, Oakwood, GA 30566-2811 |
| Emily Louanne Mcgahee | Nurse Practitioner | The Longstreet Clinic, PC | 4222 Fairbanks Dr, Oakwood, GA 30566-2811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Mcalister | Chiropractic | 4218 B Mcever Rd, Oakwood, GA 30566-2237 | |
| Karen L Stone | Chiropractic | Extended Care Center of Oakwood LLC | 4323 Mundy Mill Rd, Suite 101, Oakwood, GA 30566-2500 |
| David L Cohen | General Practice | Extended Care Center of Oakwood LLC | 4323 Mundy Mill Rd, Suite 101, Oakwood, GA 30566-2500 |
| J Stephen Jr Bennett | Chiropractic | 4211 Mundy Mill Pl B, Oakwood, GA 30566-2540 | |
| David E Witman | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 4220 Mundy Mill Pl, 2b, Oakwood, GA 30566-2573 |
| Thomas A Brosky Ii | Podiatry | 4220 Mundy Mill Pl, A, Oakwood, GA 30566-2573 | |
| Travis Core | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 4220 Mundy Mill Pl, 2b, Oakwood, GA 30566-2573 |
| Michael C Gardner | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 4220 Mundy Mill Pl, Oakwood, GA 30566-2573 |
| Anika J Arevalo | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 4220 Mundy Mill Pl, 2b, Oakwood, GA 30566-2573 |
| Gregory Patterson | Physical Therapy | Atlanta Rehabilitation and Performance Center, Inc. | 4220 Mundy Mill Pl, 2b, Oakwood, GA 30566-2573 |
| Find all physicians in zip 30566 | |||
| City | OAKWOOD |
| Zip Code | 30566 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OAKWOOD + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.