SOUTHERN CRESCENT SURGICAL ASSISTING P C – Family Nurse Practitioner, NPI 1316257041

SOUTHERN CRESCENT SURGICAL ASSISTING P C is a healthcare provider. based in Saint simons island, Georgia. specializing in Family Nurse Practitioner. The organization holds a License No. RN096995 (GA). The NPI Number for SOUTHERN CRESCENT SURGICAL ASSISTING P C is 1316257041

Main info

Organization
Name
SOUTHERN CRESCENT SURGICAL ASSISTING P C
NPI
1316257041
Phone
(404) 408-8696
Address
798 MALLERY ST APT 2
Authorized Official
ANGELA C BARNARD CEO FNP
Enumeration Date
15 October 2010
Last Update Date
1 July 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for SOUTHERN CRESCENT SURGICAL ASSISTING P C

  • 798 MALLERY ST APT 2

    SAINT SIMONS ISLAND, GA 315224021

    Phone: (404) 408-8696

    Type: Mailing

  • 1032 Laurel Ridge Dr

    McDonough, GA 302528421

    Phone: (404) 408-8696

    Fax: (678) 432-8914

    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

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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 31522)

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Reviews

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Frequently asked questions

What federal number belongs to SOUTHERN CRESCENT SURGICAL ASSISTING P C?
The federal identifier for SOUTHERN CRESCENT SURGICAL ASSISTING P C is NPI 1316257041.
Is SOUTHERN CRESCENT SURGICAL ASSISTING P C active in the national directory?
SOUTHERN CRESCENT SURGICAL ASSISTING P C's public NPI profile is in an active state.
What kind of provider is SOUTHERN CRESCENT SURGICAL ASSISTING P C?
The page reflects Family Nurse Practitioner for SOUTHERN CRESCENT SURGICAL ASSISTING P C. Clinical services aligned with this taxonomy classification.
What location shows for SOUTHERN CRESCENT SURGICAL ASSISTING P C?
We surface Saint Simons Island, Georgia for SOUTHERN CRESCENT SURGICAL ASSISTING P C based on available NPPES addresses.
Is SOUTHERN CRESCENT SURGICAL ASSISTING P C a real provider?
This page reflects official NPPES data for NPI 1316257041. Always confirm identity and privileges with the practice and licensing boards.

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