NPIMap

Organization Active NPI

Southern Sky Outpatient Detox, LLC

Doing business as Memphis Outpatient Detox, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Memphis, TN
National Provider Identifier
1871453704
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SOUTHERN SKY OUTPATIENT DETOX, LLC
Doing business as
Memphis Outpatient Detox, LLC
Practice address
2715 Kirby Rd Ste 1
Memphis, TN 38119-8238
Phone
(770) 659-5944
NPI assigned
Nov 13, 2025
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

2715 Kirby Rd Ste 1
Memphis, TN 38119-8238

Mailing address

227 Sandy Springs PL # D-298
Sandy Springs, GA 30328-5918

Other names 1

  • Memphis Outpatient Detox, LLC Doing business as

National Provider Directory

National Provider Directory
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.

Locations

227 Sandy Springs Pl
#D298
Sandy Springs, GA 30328

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1871453704",
    "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": "2715 KIRBY RD STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381198238",
            "telephone_number": "770-659-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SKY OUTPATIENT DETOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "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
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memphis Outpatient Detox, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.