Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHERN SKY OUTPATIENT DETOX, LLC
NPI 1386507119
Clinic/Center - Rehabilitation, Substance Use Disorder in Jacksonville, FL

Q: What is Southern Sky Outpatient Detox, LLC's NPI number?

The NPI number for Southern Sky Outpatient Detox, LLC is 1386507119. It was assigned to this organization in the NPPES registry on December 8, 2025. The provider is doing business as Jacksonville Outpatient Detox, LLC.

Q: What is Southern Sky Outpatient Detox, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since December 08, 2025

8613 OLD KINGS RD BLDG 1, JACKSONVILLE, FL 32217(770) 659-5944 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2026, Dec 8, 2025 (2 updates tracked since 2025).

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About Southern Sky Outpatient Detox, Llc NPPES

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

SOUTHERN SKY OUTPATIENT DETOX, LLC (NPI 1386507119), doing business as Jacksonville Outpatient Detox, Llc, is a healthcare organization registered as a rehabilitation, substance use disorder in Jacksonville, Florida and active in the NPI registry since December 2025. The organization lists Nicholas Denker, Manager, as its authorized official.

NPPES Registry Identity

NPI1386507119

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameSOUTHERN SKY OUTPATIENT DETOX, LLC

Location Address8613 OLD KINGS RD BLDG 1Jacksonville, FL 32217-4825

Mailing Address227 Sandy Springs Pl # D-298Sandy Springs, GA 30328-5918

Phone(770) 659-5944

Organization SubpartNo

Authorized OfficialNicholas DenkerManager · (609) 744-7964

Enumeration DateDecember 8, 2025

Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1386507119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

8613 OLD KINGS RD BLDG 1, Jacksonville, FL 32217

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Other Names 1

Doing Business AsJacksonville Outpatient Detox, Llc

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 Sky Outpatient Detox, LLC's NPI number?

The NPI number for Southern Sky Outpatient Detox, LLC is 1386507119. It was assigned to this organization in the NPPES registry on December 8, 2025. The provider is doing business as Jacksonville Outpatient Detox, LLC.

Where is Southern Sky Outpatient Detox, LLC located?

Southern Sky Outpatient Detox, LLC is located at 8613 Old Kings Rd Bldg 1, Jacksonville, FL 32217. The listed phone number is (770) 659-5944.

What is Southern Sky Outpatient Detox, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Southern Sky Outpatient Detox, LLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.