OrganizationActive
Southern Ketamine and Wellness, LLC
NPI 1265196257 · Clinic/Center · Vestavia Hills, AL
Southern Ketamine and Wellness, LLC is a Clinic/Center organization in Vestavia Hills, AL (NPI 1265196257).
Provider details
- NPI number
- 1265196257
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Irons, Medical Director(256) 337-1453
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1932 Laurel Rd Ste 1b
Vestavia Hills, AL 35216-1939
Phone: (205) 202-9163
Street-level locationGet directions
Mailing address
1932 Laurel Rd Ste 1b
Vestavia Hills, AL 35216-1939
Registry dates
- Enumerated
- 2021-10-26
- Last updated
- 2021-10-26
- Certified
- 2021-10-26
Frequently asked questions
- What is Southern Ketamine and Wellness, LLC's NPI number?
- Southern Ketamine and Wellness, LLC's National Provider Identifier (NPI) is 1265196257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Ketamine and Wellness, LLC?
- Southern Ketamine and Wellness, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Ketamine and Wellness, LLC located?
- Southern Ketamine and Wellness, LLC's practice location on file with NPPES is 1932 Laurel Rd Ste 1b, Vestavia Hills, AL 35216-1939.
- What is Southern Ketamine and Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Ketamine and Wellness, LLC is (205) 202-9163.
- Who is the authorized official for Southern Ketamine and Wellness, LLC?
- The authorized official listed on Southern Ketamine and Wellness, LLC's NPPES record is John Irons, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Ketamine and Wellness, LLC's NPI active?
- Yes — Southern Ketamine and Wellness, LLC's NPI (1265196257) is active in the NPPES registry as of the last update on 2021-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.