SOUTHERN KETAMINE AND WELLNESS, LLC
NPI 1265196257
Clinic/Center in Vestavia Hills, AL

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

The NPI number for Southern Ketamine And Wellness, LLC is 1265196257. It was assigned to this organization in the NPPES registry on October 26, 2021.

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 October 26, 2021

1932 LAUREL RD STE 1B, VESTAVIA HILLS, AL 35216(205) 202-9163 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1265196257) is a healthcare organization registered as a clinic/center in Vestavia Hills, Alabama and active in the NPI registry since October 2021. The organization lists John Harrison Irons, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1265196257

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSOUTHERN KETAMINE AND WELLNESS, LLC

Location Address1932 LAUREL RD STE 1BVestavia Hills, AL 35216-1939

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

Phone(205) 202-9163

Organization SubpartNo

Authorized OfficialJohn Harrison IronsMedical Director · (256) 337-1453

Enumeration DateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1265196257 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).

1932 LAUREL RD STE 1B, Vestavia Hills, AL 35216

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Other Providers at the Same Location NPPES 3

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

MR. JOHN GARRY RUNYANS II CRNA

Nurse Anesthetist, Certified Registered

1932 LAUREL RD STE 1B
VESTAVIA HILLS, AL 35216

Jefferson County (205) 202-9163

TIMOTHY LUCAS HICKS CRNP

Nurse Practitioner (Family)

1932 LAUREL RD STE 1B
VESTAVIA HILLS, AL 35216

Jefferson County (205) 421-3420

SOUTHERN KETAMINE AND WELLNESS LLC

Anesthesiology (Pain Medicine)

1932 LAUREL RD STE 1B
VESTAVIA HILLS, AL 35216

Jefferson County (205) 202-9163

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 1265196257. It was assigned to this organization in the NPPES registry on October 26, 2021.

Where is Southern Ketamine And Wellness, LLC located?

Southern Ketamine And Wellness, LLC is located at 1932 Laurel Rd Ste 1B, Vestavia Hills, AL 35216. The listed phone number is (205) 202-9163.

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 October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.