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SOUTHERN CRESCENT FAMILY PRACTICE, LLC
NPI 1396923538
Family Medicine in Forest Park, GA

Active since February 08, 2008CLIA 11D1017335 · Waiver
525 FOREST PKWY, SUITE 100, FOREST PARK, GA 30297(678) 705-0100(678) 235-1800 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Crescent Family Practice, Llc NPPES

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

SOUTHERN CRESCENT FAMILY PRACTICE, LLC (NPI 1396923538) is a healthcare organization registered as a family medicine in Forest Park, Georgia and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Faith A Andrews, Owner, as its authorized official.

NPPES Registry Identity

NPI1396923538
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN CRESCENT FAMILY PRACTICE, LLC
Location Address525 FOREST PKWY, SUITE 100Forest Park, GA 30297-2149
Mailing Address525 Forest Pkwy, Suite 100Forest Park, GA 30297-2149 · (678) 705-0100 · Fax (678) 235-1800
Phone(678) 705-0100
Fax(678) 235-1800
Organization SubpartNo
Authorized OfficialFaith A AndrewsOwner · (678) 705-0100
Enumeration DateFebruary 8, 2008
Last NPPES UpdateMay 15, 2008
✔ NPI 1396923538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 044158
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
525 FOREST PKWY, Forest Park, GA 30297
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Other Identifiers 3

Medicare UPINH70277GA
Medicaid555253916AGA
Medicare PIN08BBQMQGA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1017335

Southern Crescent Family Practice LLC · Forest Park, GA
Active · expires Sep 22, 2027
CLIA Number11D1017335
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorFaith A. Andrews
Laboratory Phone(678) 705-0100
Laboratory LocationSouthern Crescent Family Practice LLC455 Forest Parkway, Suite 100, Forest Park, GA 30297
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

FAITH ADONIS ANDREWS MD
Family Medicine
525 FOREST PKWY, SUITE 100
FOREST PARK, GA 30297
Clayton County (678) 705-0100

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 Family Practice, LLC's NPI number?

The NPI number for Southern Crescent Family Practice, LLC is 1396923538. It was assigned to this organization in the NPPES registry on February 8, 2008.

Where is Southern Crescent Family Practice, LLC located?

Southern Crescent Family Practice, LLC is located at 525 Forest Pkwy Suite 100, Forest Park, GA 30297. The listed phone number is (678) 705-0100.

What is Southern Crescent Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Southern Crescent Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1017335) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Crescent Family Practice, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Crescent Family Practice, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Crescent Family Practice, LLC was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.