SOUTHERN KETAMINE AND WELLNESS, LLC
NPI 1104611722
Clinic/Center in Opelika, AL

Q: What is Southern Ketamine And Wellness, LLC's NPI number?

The NPI number for Southern Ketamine And Wellness, LLC is 1104611722. It was assigned to this organization in the NPPES registry on April 14, 2025.

Q: What is Southern Ketamine And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since April 14, 2025

2200 GATEWAY DR STE AA, OPELIKA, AL 36801(334) 209-5340 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southern Ketamine And Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN KETAMINE AND WELLNESS, LLC (NPI 1104611722) is a healthcare organization registered as a clinic/center in Opelika, Alabama and active in the NPI registry since April 2025. The organization lists John Harrison Irons, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104611722

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSOUTHERN KETAMINE AND WELLNESS, LLC

Location Address2200 GATEWAY DR STE AAOpelika, AL 36801-6884

Mailing Address1932 Laurel Rd Ste 1bVestavia Hills, AL 35216-1939

Phone(334) 209-5340

Organization SubpartNo

Authorized OfficialJohn Harrison IronsMedical Director · (205) 379-6075

Enumeration DateApril 14, 2025

NPPES CertifiedApril 14, 2025

✔ NPI 1104611722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2200 GATEWAY DR STE AA, Opelika, AL 36801

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES P. HANNAHAN, D.M.D., P.C.

Dentist (Endodontics)

2200 GATEWAY DR STE AA
OPELIKA, AL 36801

Lee County (877) 481-7804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Ketamine And Wellness, LLC's NPI number?

The NPI number for Southern Ketamine And Wellness, LLC is 1104611722. It was assigned to this organization in the NPPES registry on April 14, 2025.

Where is Southern Ketamine And Wellness, LLC located?

Southern Ketamine And Wellness, LLC is located at 2200 Gateway Dr Ste Aa, Opelika, AL 36801. The listed phone number is (334) 209-5340.

What is Southern Ketamine And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Southern Ketamine And Wellness, LLC was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.