Organization Active NPI

Ketamine Solutions, LLC

  • Clinic/Center
  • Greenville, SC
National Provider Identifier
1952147498
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KETAMINE SOLUTIONS, LLC
Practice address
138 Milestone Way Ste a
Greenville, SC 29615-6618
Phone
(864) 236-1630
NPI assigned
Jul 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Joy Bailley
Title
Member
Phone
(864) 527-1250

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Clinic/Center 261Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

138 Milestone Way Ste a
Greenville, SC 29615-6618

Mailing address

3523 Pelham Rd Ste C
Greenville, SC 29615-4191
Phone (864) 527-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241011003142 SC Part B Supplier - Clinic/Group Practice 6608308978 Receives reassigned benefits from 3 practitioners
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1952147498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 PELHAM RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154191",
            "telephone_number": "864-527-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MILESTONE WAY STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156618",
            "telephone_number": "864-236-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "BAILLEY",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-527-1250"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.