SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC – Neurology Physician, NPI 1013052182

SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC is a healthcare provider. based in Fayetteville, Georgia. specializing in Neurology Physician. The organization holds a License No. 031058 (GA). The NPI Number for SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC is 1013052182

Main info

Organization
Name
SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC
NPI
1013052182
Phone
(770) 719-2965
Address
1250 HIGHWAY 54 W
Authorized Official
DR. KENNETH JAY LAZARUS CEO M.D. ,P.H.D.
Enumeration Date
20 February 2007
Last Update Date
21 June 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC

  • 1250 HIGHWAY 54 W

    102

    FAYETTEVILLE, GA 302144545

    Phone: (770) 719-2965

    Fax: (770) 719-2963

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30214)

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Frequently asked questions

What is SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC's NPI number?
SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC's NPI is 1013052182 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC?
For scheduling context, SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC is shown as active in the registry.
How would a patient describe SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC's focus?
For SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC, the primary taxonomy reads as Neurology Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC registered?
Use Fayetteville, Georgia as the headline location for SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC here.
Does SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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