KETAMINE CENTERS OF CENTRAL GEORGIA LLC
NPI 1053132308
Internal Medicine in Macon, GA

Q: What is Ketamine Centers Of Central Georgia LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 21, 2024

3312 NORTHSIDE DR STE D235, MACON, GA 31210(478) 201-9220(478) 203-9322 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ketamine Centers Of Central Georgia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETAMINE CENTERS OF CENTRAL GEORGIA LLC (NPI 1053132308) is a healthcare organization registered as an internal medicine in Macon, Georgia and active in the NPI registry since October 2024. The organization lists Judah Greenberg, Doctor Owner, as its authorized official.

NPPES Registry Identity

NPI1053132308

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameKETAMINE CENTERS OF CENTRAL GEORGIA LLC

Location Address3312 NORTHSIDE DR STE D235Macon, GA 31210-0426

Mailing Address6275 Rivoli DrMacon, GA 31210-1456 · (478) 363-0016 · Fax (478) 203-9322

Phone(478) 201-9220

Fax(478) 203-9322

Organization SubpartNo

Authorized OfficialJudah GreenbergDoctor Owner · (478) 201-9220

Enumeration DateOctober 21, 2024

NPPES CertifiedOctober 20, 2024

✔ NPI 1053132308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3312 NORTHSIDE DR STE D235, Macon, GA 31210

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Other Names 1

Other NameKetamine Center Of Central Georgia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketamine Centers Of Central Georgia LLC's NPI number?

The NPI number for Ketamine Centers Of Central Georgia LLC is 1053132308. It was assigned to this organization in the NPPES registry on October 21, 2024. The provider is also known as Ketamine Center of Central Georgia.

Where is Ketamine Centers Of Central Georgia LLC located?

Ketamine Centers Of Central Georgia LLC is located at 3312 Northside Dr Ste D235, Macon, GA 31210. The listed phone number is (478) 201-9220.

What is Ketamine Centers Of Central Georgia LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Ketamine Centers Of Central Georgia LLC was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.