SOUTHERN CRESCENT PEDIATRICS PC – Pediatrics Physician, NPI 1972595999

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 1972595999

Main info

Organization
Name
SOUTHERN CRESCENT PEDIATRICS PC
NPI
1972595999
Phone
(770) 389-9944
Address
150 MEDICAL BLVD
Authorized Official
JUAN JOSE SHERWOOD PRESIDENT MD
Enumeration Date
16 August 2005
Last Update Date
30 September 2011
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

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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

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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 is SOUTHERN CRESCENT PEDIATRICS PC's NPI number?
SOUTHERN CRESCENT PEDIATRICS PC's NPI is 1972595999 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to SOUTHERN CRESCENT PEDIATRICS PC?
You should see SOUTHERN CRESCENT PEDIATRICS PC as active in CMS-hosted NPPES data.
What kind of doctor is SOUTHERN CRESCENT PEDIATRICS PC?
SOUTHERN CRESCENT PEDIATRICS PC is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with SOUTHERN CRESCENT PEDIATRICS PC?
Directory geography for SOUTHERN CRESCENT PEDIATRICS PC centers on Stockbridge, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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