Ketamine Centers of Central Georgia LLC
NPI 1053132308 · Internal Medicine Physician · Macon, GA
Ketamine Centers of Central Georgia LLC is a Internal Medicine Physician organization in Macon, GA (NPI 1053132308).
Provider details
- NPI number
- 1053132308
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Judah Greenberg, Doctor Owner(478) 201-9220
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Ketamine Center of Central Georgia
Registry dates
- Enumerated
- 2024-10-21
- Last updated
- 2024-10-21
- Certified
- 2024-10-20
Frequently asked questions
- What is Ketamine Centers of Central Georgia LLC's NPI number?
- Ketamine Centers of Central Georgia LLC's National Provider Identifier (NPI) is 1053132308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine Centers of Central Georgia LLC?
- Ketamine Centers of Central Georgia LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ketamine Centers of Central Georgia LLC located?
- Ketamine Centers of Central Georgia LLC's practice location on file with NPPES is 3312 Northside Dr Ste D235, Macon, GA 31210-0426.
- What is Ketamine Centers of Central Georgia LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketamine Centers of Central Georgia LLC is (478) 201-9220.
- Who is the authorized official for Ketamine Centers of Central Georgia LLC?
- The authorized official listed on Ketamine Centers of Central Georgia LLC's NPPES record is Judah Greenberg, Doctor Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine Centers of Central Georgia LLC's NPI active?
- Yes — Ketamine Centers of Central Georgia LLC's NPI (1053132308) is active in the NPPES registry as of the last update on 2024-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.