Southern Ketamine and Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHERN KETAMINE AND WELLNESS, LLC

Practice address

2200 Gateway Dr Ste Aa
Opelika, AL 36801-6884

Phone

(334) 209-5340

NPI assigned

Apr 14, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Harrison Irons, MD

Title

Medical Director

Phone

(205) 379-6075

Specialties & licenses 1

Addresses

Tax ID family

Southern Ketamine and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Ketamine and Wellness, LLC

  • Clinic/Center
  • Vestavia Hills, AL
  • NPI 1265196257
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1104611722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 LAUREL RD STE 1B",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GATEWAY DR STE AA",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016884",
            "telephone_number": "334-209-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN KETAMINE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "IRONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "205-379-6075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sherwood Sosebee, CRNP
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• Southern Eye Care Associates LLC (Whatley Eye Care)
• Southern Home Care Services, Inc.
• Southerncare Inc (SouthernCare Opelika)
• Andria C Spates, RPH
• Casey Estelle Spears, PHARMD
• Ashley Spurlin, MCD, CCC-SLP
• Eve Stalker

• Clinic/Center in Opelika, AL
• Providers in Opelika, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.