SOUTHERN CRESCENT PHYSICIANS GROUP, INC
NPI 1174922520
Plastic Surgery in Riverdale, GA
NPI Status: Active since August 21, 2014
Contact Information
7823 SPIVEY STATION BOULEVARD
SUITE 205
RIVERDALE, GA
ZIP 30274
Phone: (770) 897-7277
- Organization
- Plastic Surgery
- CLIA Number: 11D1054346
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 05-17-2028
About SOUTHERN CRESCENT PHYSICIANS GROUP, INC
This page provides the complete NPI Profile along with additional information for Southern Crescent Physicians Group, Inc, a provider established in Riverdale, Georgia operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1174922520 assigned on August 2014. The practitioner's primary taxonomy code is 208200000X with license number 072414 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Southern Crescent Physicians Group, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is John Mcclain (Ceo)
- NPI
- 1174922520
- Provider Name
- SOUTHERN CRESCENT PHYSICIANS GROUP, INC
- Entity Type
- Organization
- Location Address
- 7823 SPIVEY STATION BOULEVARD SUITE 205 RIVERDALE, GA 30274
- Location Phone
- (770) 897-7277
- Mailing Address
- 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274
- Mailing Phone
- (770) 897-7056
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-21-2014
- Last Update Date
- 06-27-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 072414
- License State
- GA
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1054346
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- May 18, 2026
- Certificate Expiration Date
- May 17, 2028
- Laboratory Director
- MUHAMMED HAFIZ RAHMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern Crescent Physicians Group, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174922520, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174922520, enumerated as an "organization" on August 21, 2014.
The provider is located at 7823 SPIVEY STATION BOULEVARD SUITE 205 RIVERDALE, GA 30274 and the phone number is (770) 897-7277.
Plastic Surgery with taxonomy code 208200000X.
