Georgia Ketamine Renew
NPI 1255951182 · Acupuncturist · Gainesville, GA
Georgia Ketamine Renew is a Acupuncturist organization in Gainesville, GA (NPI 1255951182).
Provider details
- NPI number
- 1255951182
- Entity type
- Organization
- Primary specialty
- AcupuncturistOther Service Providers
- Organization subpart
- No
- Authorized official
- Heidi Nicholson, Owner(404) 406-4191
Specialties & taxonomies
Other Service Providers
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs 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
Registry dates
- Enumerated
- 2020-04-21
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Frequently asked questions
- What is Georgia Ketamine Renew's NPI number?
- Georgia Ketamine Renew's National Provider Identifier (NPI) is 1255951182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia Ketamine Renew?
- Georgia Ketamine Renew is classified in the NPPES registry as Acupuncturist (Other Service Providers).
- Where is Georgia Ketamine Renew located?
- Georgia Ketamine Renew's practice location on file with NPPES is 1370 Thompson Bridge Rd Ste 101, Gainesville, GA 30501-1780.
- What is Georgia Ketamine Renew's phone number?
- The practice phone number listed in the NPPES registry for Georgia Ketamine Renew is (678) 769-7008.
- Who is the authorized official for Georgia Ketamine Renew?
- The authorized official listed on Georgia Ketamine Renew's NPPES record is Heidi Nicholson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Georgia Ketamine Renew's NPI active?
- Yes — Georgia Ketamine Renew's NPI (1255951182) is active in the NPPES registry as of the last update on 2020-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.