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ANTONIO LUIS, M.D., LLC
NPI 1912627126
Clinic/Center - Mental Health (Including Community Mental Health Center) in Milledgeville, GA

Active since August 29, 2022
1013 FERNWOOD DR STE C, MILLEDGEVILLE, GA 31061(478) 251-6924(478) 295-3644 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonio Luis, M.d., Llc NPPES

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

ANTONIO LUIS, M.D., LLC (NPI 1912627126) is a healthcare organization registered as a mental health (including community mental health center) in Milledgeville, Georgia and active in the NPI registry since August 2022. The organization lists Dennis Braddy, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1912627126
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameANTONIO LUIS, M.D., LLC
Location Address1013 FERNWOOD DR STE CMilledgeville, GA 31061-5428
Mailing Address1013 Fernwood Dr Ste CMilledgeville, GA 31061-5428 · (478) 251-6924 · Fax (478) 295-3644
Phone(478) 251-6924
Fax(478) 295-3644
Organization SubpartNo
Authorized OfficialDennis BraddyPractice Administrator · (478) 295-0526
Enumeration DateAugust 29, 2022
Last NPPES UpdateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
✔ NPI 1912627126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1013 FERNWOOD DR STE C, Milledgeville, GA 31061
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Other Providers at the Same Location NPPES

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

SUSAN ELAINE STEELE ADVANCED PRACTICE NP
Nurse Practitioner (Psychiatric/Mental Health)
1013 FERNWOOD DR STE C
MILLEDGEVILLE, GA 31061
Baldwin County (478) 295-0526

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 Antonio Luis, M.D., LLC's NPI number?

The NPI number for Antonio Luis, M.D., LLC is 1912627126. It was assigned to this organization in the NPPES registry on August 29, 2022.

Where is Antonio Luis, M.D., LLC located?

Antonio Luis, M.D., LLC is located at 1013 Fernwood Dr Ste C, Milledgeville, GA 31061. The listed phone number is (478) 251-6924.

What is Antonio Luis, M.D., LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Antonio Luis, M.D., LLC was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.