● Active Type 2 · Organization
Southern Sky Outpatient Detox, Llc
Clinic/Center·Lawrenceville, GA· NPI 1528801594
·
Enumerated 2024 · 1 years on NPI
Southern Sky Outpatient Detox, Llc is 1 of 117 clinic/center organizations in Georgia.
NPI age
1 years
Enumerated 2024-06-17
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Denker
Managing Member
Last NPPES update
2024-06-17
Source: monthly bulk 2026-05
How this organization compares
Across 117 active clinic/center providers in Georgia.
NPI age
1 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2024 → 2026
2024-06Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
1156 McKendree Church Rd
Lawrenceville, GA 300435272
📞 7706595944
Mailing address
227 Sandy Springs Pl # D-298
Sandy Springs, GA 303285918
Authorized official
Jonathan Denker
Managing Member
📞 7706595944
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QR0405X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.