SOUTHERN CRESCENT SURGICAL ASSISTING P C
NPI 1316257041
Nurse Practitioner - Family in Saint Simons Island, GA

Q: What is Southern Crescent Surgical Assisting P C's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 15, 2010

798 MALLERY ST APT 2, SAINT SIMONS ISLAND, GA 31522(404) 408-8696 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2019, Mar 5, 2019 (2 updates tracked since 2019).

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About Southern Crescent Surgical Assisting P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN CRESCENT SURGICAL ASSISTING P C (NPI 1316257041) is a healthcare organization registered as a family in Saint Simons Island, Georgia and active in the NPI registry since October 2010. The organization maintains a secondary practice location in Mcdonough and lists Angela C Barnard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316257041

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSOUTHERN CRESCENT SURGICAL ASSISTING P C

Location Address798 MALLERY ST APT 2Saint Simons Island, GA 31522-4021

Mailing Address798 Mallery St Apt 2Saint Simons Island, GA 31522-4021 · (404) 408-8696

Phone(404) 408-8696

Organization SubpartNo

Authorized OfficialAngela C BarnardCeo · (404) 408-8696

Enumeration DateOctober 15, 2010

Last NPPES UpdateJuly 1, 20192 updates tracked since enumeration

✔ NPI 1316257041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN096995

798 MALLERY ST APT 2, Saint Simons Island, GA 31522

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Secondary Practice Location 1

Location 11032 Laurel Ridge DrMcDonough, GA 30252-8421 · Phone (404) 408-8696 · Fax (678) 432-8914

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA C BARNARD RN, FNP-C, CRNFA

Nurse Practitioner (Family)

798 MALLERY ST APT 2
SAINT SIMONS ISLAND, GA 31522

Glynn County (404) 408-8696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Crescent Surgical Assisting P C's NPI number?

The NPI number for Southern Crescent Surgical Assisting P C is 1316257041. It was assigned to this organization in the NPPES registry on October 15, 2010.

Where is Southern Crescent Surgical Assisting P C located?

Southern Crescent Surgical Assisting P C is located at 798 Mallery St Apt 2, Saint Simons Island, GA 31522. The listed phone number is (404) 408-8696.

What is Southern Crescent Surgical Assisting P C's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Southern Crescent Surgical Assisting P C was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.