1. Home
  2. Directory
  3. Georgia
  4. Gainesville
  5. Acupuncturist
  6. NPI Profile

GEORGIA KETAMINE RENEW
NPI 1255951182
Acupuncturist in Gainesville, GA

Active since April 21, 2020
1370 THOMPSON BRIDGE RD STE 101, GAINESVILLE, GA 30501(678) 769-7008 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Georgia Ketamine Renew NPPES

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

GEORGIA KETAMINE RENEW (NPI 1255951182) is a healthcare organization registered as an acupuncturist in Gainesville, Georgia and active in the NPI registry since April 2020. The organization lists Heidi Nicholson, Owner, as its authorized official.

NPPES Registry Identity

NPI1255951182
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameGEORGIA KETAMINE RENEW
Location Address1370 THOMPSON BRIDGE RD STE 101Gainesville, GA 30501-1780
Mailing Address1370 Thompson Bridge Rd Ste 101Gainesville, GA 30501-1780 · (678) 769-7008
Phone(678) 769-7008
Organization SubpartNo
Authorized OfficialHeidi NicholsonOwner · (404) 406-4191
Enumeration DateApril 21, 2020
NPPES CertifiedApril 21, 2020
✔ NPI 1255951182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
1370 THOMPSON BRIDGE RD STE 101, Gainesville, GA 30501
Open in Google Maps ↗

Other Identifiers 1

Other34210GA · License

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERIDAN H SPENCER LAC
Acupuncturist
1370 THOMPSON BRIDGE RD STE 101
GAINESVILLE, GA 30501
Hall County (855) 438-5382
CARRIE ELIZABETH DAVIS FNP-BC
Nurse Practitioner (Family)
1370 THOMPSON BRIDGE RD STE 101
GAINESVILLE, GA 30501
Hall County (678) 769-7008

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 Georgia Ketamine Renew's NPI number?

The NPI number for Georgia Ketamine Renew is 1255951182. It was assigned to this organization in the NPPES registry on April 21, 2020.

Where is Georgia Ketamine Renew located?

Georgia Ketamine Renew is located at 1370 Thompson Bridge Rd Ste 101, Gainesville, GA 30501. The listed phone number is (678) 769-7008.

What is Georgia Ketamine Renew's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Georgia Ketamine Renew was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.