OrganizationActive
Antonio Luis, M.D., LLC
NPI 1912627126 · Mental Health Clinic/Center (Including Community Mental Health Center) · Milledgeville, GA
Provider details
- NPI number
- 1912627126
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dennis Braddy, Practice Administrator(478) 295-0526
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 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
1013 Fernwood Dr Ste C
Milledgeville, GA 31061-5428
Phone: (478) 251-6924
Fax: (478) 295-3644
Street-level locationGet directions
Mailing address
1013 Fernwood Dr Ste C
Milledgeville, GA 31061-5428
Registry dates
- Enumerated
- 2022-08-29
- Last updated
- 2022-08-30
- Certified
- 2022-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.