Southern Sky Outpatient Detox, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SOUTHERN SKY OUTPATIENT DETOX, LLC

Practice address

1810 Water PL SE Ste 180
Atlanta, GA 30339-2282

Phone

(770) 659-5944

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Jonathan E Denker III

Title

Managing Member

Phone

(770) 659-5944

Specialties & licenses 1

Addresses

Other names 1

• Georgia Sky Outpatient Detox Doing business as

Tax ID family

Georgia Sky Outpatient Detox5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Southern Sky Outpatient Detox, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Johns Creek, GA
  • NPI 1396515169
  NPD tax ID
• Southern Sky Outpatient Detox, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lawrenceville, GA
  • NPI 1528801594
  NPD tax ID
• Southern Sky Outpatient Detox, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1386507119
  NPD tax ID
• Southern Sky Outpatient Detox, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Memphis, TN
  • NPI 1871453704
  NPD tax ID

Locations

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1619740719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SANDY SPRINGS PL # D-298",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WATER PL SE STE 180",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392282",
            "telephone_number": "770-659-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SKY OUTPATIENT DETOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "DENKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-659-5944",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Sky Outpatient Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.