Next Step Psychiatry – Lilburn, Georgia Ketamine Clinics, Spravato Clinics

✓ Edited by Angelica Bottaro for HealingMaps Editorial Staff

Known For: Gwinnett County’s REMS-certified Spravato center and the only practice on Atlanta’s east side with a posted insurance list that runs from Aetna and Blue Cross through Medicare and Georgia Medicaid. Next Step Psychiatry pairs esketamine treatment with psychiatric evaluation, medication management and statewide telepsychiatry from a Lilburn office on Lawrenceville Highway, with same-day appointments and Saturday-morning hours.

HealingMaps Take: Next Step Psychiatry fills a real gap. Before this listing, the closest Spravato provider on HealingMaps for Gwinnett, Walton and east DeKalb patients was in Decatur, and a Monroe patient asking about insurance-covered esketamine had nothing within thirty miles. What sets this practice apart is who it bills: Medicare and five Georgia Medicaid plans sit on the same posted list as the commercial carriers, and the office handles prior authorization and copay-assistance enrollment. The trade-off is scope. There is no IV or IM ketamine, no ketamine-assisted psychotherapy, and the practice states plainly that it does not offer TMS, so a patient who wants esketamine and TMS under one roof should look at MindBodySoul in Decatur instead.

Market Position: Next Step Psychiatry holds the insurance-access slot on Atlanta’s east side — the only REMS-certified Spravato center on HealingMaps in Gwinnett County, differentiated by Medicare and Georgia Medicaid acceptance, same-day scheduling and Saturday hours rather than by modality breadth.

Next Step Psychiatry Ketamine Cost Calculator

Ketamine Protocols Compared — What’s Offered at Next Step Psychiatry

Industry pricing reference. Next Step Psychiatry has not published specific per-session pricing — contact the clinic directly for a quote. The calculator above shows typical metro-level cost estimates across protocols, not this clinic’s specific prices.

What to Expect at Your First Next Step Psychiatry Appointment

1. Initial intake call — Free insurance verification, Spravato prior authorization and copay-assistance enrollment if applicable, and a clinical eligibility check. Call 678-437-1659; new patients are typically seen within 24 hours.
2. Psychiatric evaluation — a 45-to-60-minute assessment covering medical history, current medications and prior antidepressant trials, in the office or by video.
3. First treatment session — self-administered Spravato nasal spray under observation in a private treatment room at 4145 Lawrenceville Hwy NW, Suite 100, Lilburn, GA 30047, with free on-site parking off I-85 exit 99.
4. Recovery and follow-up — the two-hour monitoring period, a mood check-in with the clinical team, and scheduling the next session. Arrange a ride home; you cannot drive for the rest of the day.

What to Ask on Your Next Step Psychiatry Consult Call

• Which provider will oversee my Spravato sessions, and how many patients has the Lilburn office treated with esketamine?
• My plan is on your list — will you confirm Spravato coverage and the expected copay in writing before the first dose, and what does the Janssen copay program cover?
• What is the induction schedule (twice weekly for four weeks is standard), and how do you decide when to taper to maintenance?
• If Spravato does not work for me, what is the next step here, given that the practice does not offer TMS or IV ketamine?

Lilburn Ketamine Market Snapshot

Sources: U.S. Census ACS 5-Year (county figures approximate) · HealingMaps proprietary patient inquiry data.

• Gwinnett County (Lilburn — Lawrenceville Highway corridor) population: approx. 980,000 · median household income approx. $84,000
• Recent east-metro inquiries to HealingMaps: Patients from Gwinnett, Walton and east DeKalb counties have recently contacted us seeking insurance-covered Spravato, with no listed provider closer than Decatur before this profile

Behind this data: HealingMaps has analyzed 23,496 patient inquiries (Oct 2022 – Mar 2026), mapped 1,800 verified clinics across 3,142 counties, analyzed 132 clinic websites, and collected 658 practitioner survey responses. This snapshot reflects our multi-source methodology.

From the 2026 Ketamine Industry Report

44.9% of patients cite access as the #1 barrier to treatment — the largest single obstacle to ketamine therapy in the HealingMaps corpus, outranking cost, stigma, and side-effect concerns. Source: HealingMaps 2026 Ketamine Clinic Intelligence Report — drawn from 23,496 patient inquiries and 132 clinic website analyses.

Patient Review

“After 15 years of trying different antidepressants, Spravato finally gave me my life back. I noticed a difference after my very first treatment. The team at Next Step made me feel safe and supported throughout.” — Michelle T., Spravato patient, as published on the practice’s website (Google rating 4.3/5).

About Next Step Psychiatry

Next Step Psychiatry treats patients at 4145 Lawrenceville Hwy NW, Suite 100, Lilburn, GA 30047, on Lawrenceville Highway in Lilburn with free on-site parking, about 25 minutes from downtown Atlanta and 15 minutes from Lawrenceville. Office hours are Monday through Friday, 9:00am to 6:00pm, and Saturday, 10:00am to noon. Founded in 2019, the practice reports more than 5,000 patients treated and is one of a small number of REMS-certified Spravato centers in Georgia. Care is delivered by board-certified providers including Khadeja Chowdhury, PA-C, a physician assistant with more than eight years of psychiatric experience focused on treatment-resistant depression, with Morium Chowdhury, MD, serving as Wellness Director.

Spravato (esketamine) nasal spray is self-administered on-site under observation, followed by the standard two-hour monitoring period in a private treatment room. Treatment typically runs twice a week for the first four weeks before moving to a maintenance schedule, and is taken alongside a daily oral antidepressant that the practice manages. Candidates have a major depressive disorder diagnosis and at least two prior antidepressant trials without adequate relief. The practice does not offer TMS, IV ketamine or ketamine-assisted psychotherapy.

The posted insurance list covers Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Humana, Optum, Oscar, Ambetter, Magellan and Alliant, plus Medicare Original and Advantage plans and Georgia Medicaid through fee-for-service, Amerigroup, CareSource, Peach State and WellCare. The office verifies benefits free before the first visit, handles prior authorization and copay-assistance enrollment, and offers self-pay rates, payment plans, HSA/FSA and superbills for patients without coverage. Beyond Spravato, the practice provides psychiatric evaluations, medication management with pharmacogenetic testing, ADHD testing and treatment for children and adults, and telepsychiatry anywhere in Georgia.

To schedule, call 678-437-1659, email info@nextsteppsychiatry.com, or visit nextsteppsychiatry.com.

Patient Questions about Next Step Psychiatry

This 5-question summary is matched to the protocols and conditions Next Step Psychiatry treats. Editorial responses are HealingMaps-authored.

What ketamine protocols does Next Step Psychiatry offer?

Next Step Psychiatry offers Spravato (esketamine), the FDA-approved nasal spray, administered in its REMS-certified Lilburn office alongside psychiatric evaluation and medication management. It does not offer IV or IM ketamine, ketamine-assisted psychotherapy or TMS.

Does Next Step Psychiatry offer Spravato (esketamine)?

Yes — Next Step Psychiatry is a REMS-certified Spravato center, which means it maintains the required two-hour in-office monitoring window after each dose. Treatment is typically twice weekly for the first four weeks, then tapered to maintenance.

Does Next Step Psychiatry accept Medicare or Georgia Medicaid for Spravato?

Yes — the practice’s posted insurance list includes Medicare Original and Advantage plans and Georgia Medicaid through fee-for-service, Amerigroup, CareSource, Peach State and WellCare, alongside major commercial carriers. The office verifies benefits free before the first visit and handles prior authorization. Confirm your specific plan when you call.

Is Next Step Psychiatry suited for treatment-resistant depression?

Yes — treatment-resistant depression is the practice’s stated specialty. TRD is typically defined as two or more prior antidepressant trials without sufficient response, and patients meeting that bar are the best Spravato candidates.

Can Next Step Psychiatry help with anxiety, ADHD or bipolar disorder?

Yes — Next Step Psychiatry provides psychiatric evaluation and medication management for generalized anxiety, panic, PTSD, OCD, ADHD (with TOVA testing) and bipolar disorder for patients age 5 and up, in person or by telepsychiatry across Georgia. Spravato itself is indicated only for treatment-resistant depression.

View all REMS-certified Spravato clinics in Georgia and across the United States.