NPI age
6 years
Enumerated 2020-04-21
● Active Type 2 · Organization
Georgia Ketamine Renew
Georgia Ketamine Renew is 1 of 353 acupuncturist organizations in Georgia.
Primary specialty
Acupuncturist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nicholson
Owner
Last NPPES update
2020-04-21
Source: monthly bulk 2026-05
How this organization compares
Across 353 active acupuncturist providers in Georgia.
NPI age
6 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 19% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-04Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1370 Thompson Bridge Rd Ste 101
Gainesville, GA 305011780
Mailing address
1370 Thompson Bridge Rd Ste 101
Gainesville, GA 305011780
Authorized official
Heidi Nicholson, MD
Owner
📞 4044064191
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Carrie Davis, FNP-BC Nurse Practitioner NPI 1871061408
- Sheridan Spencer, LAC Acupuncturist NPI 1578074126
Specialties
-
Acupuncturist PrimaryAn acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 34210 | LICENSE |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.