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SOUTHERN SKY OUTPATIENT DETOX, LLC
NPI 1396515169
Clinic/Center - Rehabilitation, Substance Use Disorder in Johns Creek, GA

Active since January 03, 2024
11030 JONES BRIDGE RD STE 304, JOHNS CREEK, GA 30022(770) 659-5944 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1396515169), doing business as Georgia Sky Outpatient Detox, is a healthcare organization registered as a rehabilitation, substance use disorder in Johns Creek, Georgia and active in the NPI registry since January 2024. The organization lists Jonathan Denker, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1396515169
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSOUTHERN SKY OUTPATIENT DETOX, LLC
Location Address11030 JONES BRIDGE RD STE 304Johns Creek, GA 30022-4560
Mailing Address227 Sandy Springs Pl # D-298Sandy Springs, GA 30328-5918
Phone(770) 659-5944
Organization SubpartNo
Authorized OfficialJonathan DenkerManaging Member · (770) 659-5944
Enumeration DateJanuary 3, 2024
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1396515169 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
11030 JONES BRIDGE RD STE 304, Johns Creek, GA 30022
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Other Names 1

Doing Business AsGeorgia Sky Outpatient Detox

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 1396515169. It was assigned to this organization in the NPPES registry on January 3, 2024. The provider is doing business as Georgia Sky Outpatient Detox.

Where is Southern Sky Outpatient Detox, LLC located?

Southern Sky Outpatient Detox, LLC is located at 11030 Jones Bridge Rd Ste 304, Johns Creek, GA 30022. 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 March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.