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SOUTHERN CRESCENT WOMENS HEALTHCARE PC
NPI 1427061589
Obstetrics & Gynecology in Fayetteville, GA

Active since August 13, 2006CLIA Certified · 3 labs
1279 HIGHWAY 54 W, SUITE 220, FAYETTEVILLE, GA 30214(770) 991-2200(770) 991-1341 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2023, Mar 17, 2023 (2 updates tracked since 2023).

About Southern Crescent Womens Healthcare Pc NPPES

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

SOUTHERN CRESCENT WOMENS HEALTHCARE PC (NPI 1427061589) is a healthcare organization registered as an obstetrics & gynecology in Fayetteville, Georgia and active in the NPI registry since August 2006. The organization holds 3 active CLIA laboratory certificates and lists Janet Figuero, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1427061589
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHERN CRESCENT WOMEN'S HEALTHCARE PC
Location Address1279 HIGHWAY 54 W, SUITE 220Fayetteville, GA 30214-4552
Mailing Address1279 Highway 54 West, Suite 220Fayetteville, GA 30214-4552 · (770) 991-2200 · Fax (770) 991-1341
Phone(770) 991-2200
Fax(770) 991-1341
Organization SubpartNo
Authorized OfficialJanet FigueroBilling Manager · (770) 991-2200
Enumeration DateAugust 13, 2006
Last NPPES UpdateApril 12, 20232 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1427061589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1279 HIGHWAY 54 W, Fayetteville, GA 30214
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Other Names 1

Doing Business AsSouthern Crescent Womens Healthcare Pc

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Crescent Womens Healthcare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Southern Crescent Womens Healthcare PC, which bills Medicare for the services they deliver. Of these, 11 practice at this address. They are listed nearest first.

Clinicians, nearest first (17)

Tanya Beckford, M.D.
Obstetrics/Gynecology
NPI 1003017526
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOSSame address
Edwin Bello, M.D.
Obstetrics/Gynecology
NPI 1295741379
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOS✔ Accepts MedicareSame address
Benita Bonser, MD
Obstetrics/Gynecology
NPI 1285645671
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOS✔ Accepts MedicareSame address
Michlene Broadney, MD
Obstetrics/Gynecology
NPI 1629062153
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOSSame address
Kristie Dyson, MD
Obstetrics/Gynecology
NPI 1790985653
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOS✔ Accepts MedicareSame address
Sharon Lynch Miller, MD
Obstetrics/Gynecology
NPI 1750490504
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOSSame address
William Martin, M.D.
Obstetrics/Gynecology
NPI 1346251121
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOSSame address
Deborah Shepard, M.D.
Obstetrics/Gynecology
NPI 1427098276
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOS✔ Accepts MedicareSame address
Crystal Slade, MD
Obstetrics/Gynecology
NPI 1154332542
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOS✔ Accepts MedicareSame address
Heather Turner, M.D.
Obstetrics/Gynecology
NPI 1942284922
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Killebrew, MD
Obstetrics/Gynecology
NPI 1477565083
1279 HIGHWAY 54 W SUITE 220
Fayetteville, GA 30214
(770) 991-2200
✔ PECOS✔ Accepts MedicareSame address
Kimberly Cross, M.D.
Obstetrics/Gynecology
NPI 1093009383
775 POPLAR RD SUITE 210
Newnan, GA 30265
(770) 991-2200
✔ PECOS✔ Accepts Medicare16 mi
Britton Crigler, MD
Obstetrics/Gynecology
NPI 1952538811
227 RIVERSTONE DR
Canton, GA 30114
(770) 720-7733
✔ PECOS✔ Accepts Medicare55 mi
Laura Marion, M.D.
Obstetrics/Gynecology
NPI 1235497645
1793 CLIFF GOOKIN BLVD
Tupelo, MS 38801
(662) 842-1161
✔ PECOS✔ Accepts Medicare250 mi
Derek Dean, DO
Obstetrics/Gynecology
NPI 1639676398
920 MADISON AVE STE 447
Memphis, TN 38103
(901) 448-4795
✔ PECOS✔ Accepts Medicare336 mi
Kayla Perry-Walker, MD
Obstetrics/Gynecology
NPI 1669960407
800 SPRUCE ST
Philadelphia, PA 19107
(706) 296-7125
✔ PECOS✔ Accepts Medicare685 mi
Susan Thomas, M.D.
Obstetrics/Gynecology
NPI 1740569391
13313 N MERIDIAN AVE STE C
Oklahoma City, OK 73120
(405) 254-1757
✔ PECOS✔ Accepts Medicare761 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 11D1103690

Southern Crescent Womens Healthcare PC · Newnan, GA
Active · expires Feb 17, 2028
CLIA Number11D1103690
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorElizabeth W. Killebrew
Laboratory Phone(770) 991-2200
Laboratory LocationSouthern Crescent Womens Healthcare PC775 Poplar Road, Suite 210, Newnan, GA 30265
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0258311

Southern Crescent Womens Healthcare · Stockbridge, GA
Active · expires Jan 31, 2028
CLIA Number11D0258311
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorElizabeth W. Killebrew
Laboratory Phone(770) 991-2200
Laboratory LocationSouthern Crescent Womens Healthcare1045 Southcrest Drive, Suite 120, Stockbridge, GA 30281
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D0886669

Southern Crescent Womens Healthcare · Fayetteville, GA
Active · expires Jan 31, 2028
CLIA Number11D0886669
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorElizabeth W. Killebrew
Laboratory Phone(770) 991-2200
Laboratory LocationSouthern Crescent Womens Healthcare1279 Highway 54, Suite 220, Fayetteville, GA 30214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Women's Healthcare PC's NPI number?

The NPI number for Southern Crescent Women's Healthcare PC is 1427061589. It was assigned to this organization in the NPPES registry on August 13, 2006. The provider is doing business as Southern Crescent Womens Healthcare PC.

Where is Southern Crescent Women's Healthcare PC located?

Southern Crescent Women's Healthcare PC is located at 1279 Highway 54 W Suite 220, Fayetteville, GA 30214. The listed phone number is (770) 991-2200.

What is Southern Crescent Women's Healthcare PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Southern Crescent Women's Healthcare PC enrolled in Medicare?

Yes. Southern Crescent Women's Healthcare PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Crescent Women's Healthcare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Southern Crescent Women's Healthcare PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 11 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Crescent Women's Healthcare PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Southern Crescent Women's Healthcare PC 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 Women's Healthcare PC 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 Women's Healthcare PC was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.