SOUTHERN CRESCENT PEDIATRICS PC – Pediatrics Physician, NPI 1437145950

SOUTHERN CRESCENT PEDIATRICS PC is a healthcare provider. based in Stockbridge, Georgia. specializing in Pediatrics Physician. The NPI Number for SOUTHERN CRESCENT PEDIATRICS PC is 1437145950

Main info

Organization
Name
SOUTHERN CRESCENT PEDIATRICS PC
NPI
1437145950
Phone
(770) 389-9944
Address
150 MEDICAL BLVD
Authorized Official
JUAN JOSE SHERWOOD PRESIDENT MD
Enumeration Date
20 September 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for SOUTHERN CRESCENT PEDIATRICS PC

  • 150, Medical Boulevard, Stockbridge, Henry County, Georgia, 30281, United States

    STE B

    STOCKBRIDGE, GA 302815053

    Phone: (770) 389-9944

    Fax: (770) 389-1973

    Type: Mailing

  • 191 FAIRVIEW RD

    ELLENWOOD, GA 302942722

    Phone: (770) 389-5500

    Fax: (770) 389-4959

    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 30281)

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Reviews

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Frequently asked questions

What identifier follows SOUTHERN CRESCENT PEDIATRICS PC across health systems?
The NPI 1437145950 uniquely identifies SOUTHERN CRESCENT PEDIATRICS PC in U.S. healthcare data.
Does the public listing show SOUTHERN CRESCENT PEDIATRICS PC as active?
SOUTHERN CRESCENT PEDIATRICS PC's NPI record reflects an active status in NPPES.
How should patients interpret SOUTHERN CRESCENT PEDIATRICS PC's specialty?
The extract shows Pediatrics Physician for SOUTHERN CRESCENT PEDIATRICS PC. Clinical services aligned with this taxonomy classification.
Can patients visit SOUTHERN CRESCENT PEDIATRICS PC in Stockbridge, Georgia?
For routing, start with Stockbridge, Georgia for SOUTHERN CRESCENT PEDIATRICS PC, then verify phone and hours locally.
Can I export SOUTHERN CRESCENT PEDIATRICS PC's record?
You can download the official NPPES record; we summarize key fields for readability.

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