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SOUTHERN KETAMINE AND WELLNESS LLC
NPI 1700590007
Anesthesiology - Pain Medicine in Vestavia Hills, AL

Active since January 11, 2023
1932 LAUREL RD STE 1B, VESTAVIA HILLS, AL 35216(205) 202-9163 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2023, Jan 11, 2023 (2 updates tracked since 2023).

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 1700590007) is a healthcare organization registered as a pain medicine in Vestavia Hills, Alabama and active in the NPI registry since January 2023. The organization lists John Harrison Irons, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1700590007
Entity TypeOrganization
Primary Taxonomy207LP2900X
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 IronsCo-owner · (205) 202-9163
Enumeration DateJanuary 11, 2023
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
✔ NPI 1700590007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
1932 LAUREL RD STE 1B, Vestavia Hills, AL 35216
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
SOUTHERN KETAMINE AND WELLNESS, LLC
Clinic/Center
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

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 1700590007. It was assigned to this organization in the NPPES registry on January 11, 2023.

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 Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Southern Ketamine And Wellness LLC was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.