Individual provider Active NPI

Katherine Powe Deavers, RN, MS, FNP

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1760466783
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP100964 Issued in GA
Practice address
655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3756
Phone
(678) 207-4500
Fax
(770) 536-0383
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP100964 GA Primary
Nurse Practitioner 363L00000X RN100964 GA

Addresses

Primary practice location

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3756

Mailing address

PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122

Other practice location 1

1270 Friendship Rd
Braselton, GA 30517-5630
Phone (678) 207-4500

Other practice location 2

835 Austin Dr
Demorest, GA 30535-4513
Phone (678) 207-4500

Other practice location 3

1945 Beverly Rd
Gainesville, GA 30501-2034
Phone (678) 207-4500

Other practice location 4

801 Austin Dr
Demorest, GA 30535-4513
Phone (678) 207-4500

Other practice location 5

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (678) 207-4500

Other identifiers 5

IdentifierTypeStateIssuer
738974330CMedicaidGA
P00847058OtherGAMEDICARE RAILROAD
571471OtherGAWELLCARE
738974330BMedicaidGA
01341907OtherGAAMERIGROUP

Other names 1

  • Linda Katherine Powe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000338 GA Practitioner - Nurse Practitioner 2668441023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Georgia Community Physicians LLCGroup PAC ID 3274010582, 129 clinicians
The Longstreet Clinic, PCGroup PAC ID 2668465733, 140 clinicians

Practice addresses (Care Compare)

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3756
Phone (770) 297-5700

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3854
Phone (770) 533-6511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.1 of 100Reported as group
Quality
87.6
Promoting interoperability
100
Improvement activities
40
Cost
76.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN-NP100964GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Longstreet Clinic, PC CurrentSince May 1, 2021 Accepting new patients
The Longstreet Clinic PC CurrentSince May 1, 2021 Accepting new patients
Northeast Georgia Orthopaedics & Sports Medicine, LLC PastSince Apr 1, 2021 Accepting new patients
Northeast Georgia Orthopaedics & Sports Medicine, LLC PastSince Apr 1, 2021 Accepting new patients

Locations

1270 Friendship Rd
Braselton, GA 30517
Phone (678) 207-4200

801 Austin Dr
Demorest, GA 30535
Phone (706) 754-8066

835 Austin Dr
Demorest, GA 30535
Phone (706) 754-8518

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 535-9391

1945 Beverly Rd
Gainesville, GA 30501
Phone (770) 287-1500

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

655 Jesse Jewell Pkwy SE
Ste B
Gainesville, GA 30501
Phone (770) 532-7092

Interoperability endpoints

  • Direct secure messaging: kathy.deavers@longstreetclinic.gadirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1760466783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305030658",
            "telephone_number": "770-718-1122",
            "fax_number": "770-535-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013756",
            "telephone_number": "678-207-4500",
            "fax_number": "770-536-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Friendship Rd",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175630",
            "country_code": "US",
            "telephone_number": "678-207-4500",
            "fax_number": "770-536-0383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Austin Dr",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354513",
            "country_code": "US",
            "telephone_number": "678-207-4500",
            "fax_number": "770-536-0383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Beverly Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012034",
            "country_code": "US",
            "telephone_number": "678-207-4500",
            "fax_number": "770-536-0383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Austin Dr",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305354513",
            "country_code": "US",
            "telephone_number": "678-207-4500",
            "fax_number": "770-536-0383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Jesse Jewell Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013834",
            "country_code": "US",
            "telephone_number": "678-207-4500",
            "fax_number": "770-536-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAVERS",
        "first_name": "KATHERINE",
        "middle_name": "POWE",
        "credential": "RN, MS, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP100964",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN100964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "738974330C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00847058",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "571471",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "738974330B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01341907",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "POWE",
            "middle_name": "KATHERINE",
            "credential": "RN, MS, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.