SOUTHERN CRESCENT PHYSICIANS GROUP, INC. – Surgery Physician, NPI 1174923478

SOUTHERN CRESCENT PHYSICIANS GROUP, INC. is a healthcare provider. based in Riverdale, Georgia. specializing in Surgery Physician. The organization holds a License No. 016401 (GA). The NPI Number for SOUTHERN CRESCENT PHYSICIANS GROUP, INC. is 1174923478

Main info

Organization
Name
SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
NPI
1174923478
Phone
(770) 897-7056
Address
11 UPPER RIVERDALE RD SW
Authorized Official
JOHN MCCLAIN CEO
Enumeration Date
25 August 2014
Last Update Date
25 August 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:11State licenses:3Digital endpointsOther names

Provider Addresses for SOUTHERN CRESCENT PHYSICIANS GROUP, INC.

  • 11 UPPER RIVERDALE RD SW

    RIVERDALE, GA 302742615

    Phone: (770) 897-7056

    Type: Mailing

  • 7813 SPIVEY STATION BLVD

    SUITE 100

    JONESBORO, GA 302362900

    Phone: (770) 996-3190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 30274)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for SOUTHERN CRESCENT PHYSICIANS GROUP, INC.?
SOUTHERN CRESCENT PHYSICIANS GROUP, INC. — NPI 1174923478 — is the standard way to identify this listing.
Does CMS list SOUTHERN CRESCENT PHYSICIANS GROUP, INC. as active?
Yes — SOUTHERN CRESCENT PHYSICIANS GROUP, INC. is active in the NPI listing used on this page.
What healthcare role does SOUTHERN CRESCENT PHYSICIANS GROUP, INC. hold?
Scheduling teams often label SOUTHERN CRESCENT PHYSICIANS GROUP, INC. under Surgery Physician. Clinical services aligned with this taxonomy classification.
Does SOUTHERN CRESCENT PHYSICIANS GROUP, INC. list a practice location?
Patients near Riverdale, Georgia may find SOUTHERN CRESCENT PHYSICIANS GROUP, INC. in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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