OrganizationActive
Cc Metabolics of Georgia LLC
NPI 1679283030 · Internal Medicine Physician · Millen, GA
Provider details
- NPI number
- 1679283030
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Waggoner, Credentialing Manager(214) 202-1023
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
931 E Winthrope Ave
Millen, GA 30442-1839
Phone: (478) 239-0230
Fax: (478) 210-1107
Street-level locationGet directions
Mailing address
6 Pine Valley Rd Sw
Rome, GA 30165-4338
Registry dates
- Enumerated
- 2022-11-28
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.