SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
NPI 1174923478
Surgery in Jonesboro, GA

Active since August 25, 2014
7813 SPIVEY STATION BLVD, SUITE 100, JONESBORO, GA 30236(770) 996-3190 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Surgery

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 Jonesboro, Georgia operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1174923478 assigned on August 2014. The practitioner's primary taxonomy code is 208600000X with license number 072683 (GA). The provider is registered as an organization and their NPI record was last updated 12 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
1174923478 Verify this NPI
Provider Name
SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
Entity Type
Organization
Location Address
7813 SPIVEY STATION BLVD SUITE 100 JONESBORO, GA 30236
Location Phone
(770) 996-3190
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
08-25-2014
Last Update Date
08-25-2014
Code Navigator

A surgeon like Southern Crescent Physicians Group, Inc. treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
072683
License State
GA
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

016401 (GA)
22084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

053450 (GA)

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN MCCLAIN

Authorized Official Title
CEO
Authorized Official Phone
(770) 897-7056

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
7813 SPIVEY STATION BLVD, SUITE 100
JONESBORO, GA 30236
Durable Medical Equipment & Medical Supplies
7813 SPIVEY STATION BLVD, SUITE 210
JONESBORO, GA 30236
Clinic/Center (Ambulatory Surgical)
7813 SPIVEY STATION BLVD, SUITE 100
JONESBORO, GA 30236
Anesthesiologist Assistant
7813 SPIVEY STATION BLVD
JONESBORO, GA 30236
Clinic/Center (Ambulatory Surgical)
7813 SPIVEY STATION BLVD
JONESBORO, GA 30236
Nurse Practitioner
7813 SPIVEY STATION BLVD, SUITE 210
LAKE SPIVEY, GA 30236
Nurse Practitioner (Family)
7813 SPIVEY STATION BLVD
JONESBORO, GA 30236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174923478, enumerated as an "organization" on August 25, 2014.

The provider is located at 7813 SPIVEY STATION BLVD SUITE 100 JONESBORO, GA 30236 and the phone number is (770) 996-3190.

Surgery with taxonomy code 208600000X.