SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
NPI 1588069900
Psychiatry & Neurology - Neurology in Riverdale, GA

Q: What is Southern Crescent Physicians Group, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since October 28, 2014

11 UPPER RIVERDALE RD SW, TERRACE LEVEL, RIVERDALE, GA 30274(770) 996-3190(770) 996-3529 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Crescent Physicians Group, Inc. NPPES

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

SOUTHERN CRESCENT PHYSICIANS GROUP, INC. (NPI 1588069900) is a healthcare organization registered as a neurology in Riverdale, Georgia and active in the NPI registry since October 2014. The organization lists John Mclain, Coo, as its authorized official.

NPPES Registry Identity

NPI1588069900

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameSOUTHERN CRESCENT PHYSICIANS GROUP, INC.

Location Address11 UPPER RIVERDALE RD SW, TERRACE LEVELRiverdale, GA 30274-2615

Mailing Address11 Upper Riverdale Rd SwRiverdale, GA 30274-2615

Phone(770) 996-3190

Fax(770) 996-3529

Organization SubpartNo

Authorized OfficialJohn MclainCoo · (770) 897-7546

Enumeration DateOctober 28, 2014

Last NPPES UpdateJune 22, 2015

✔ NPI 1588069900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in GA · 028352

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedNeurological SurgeryTaxonomy 207T00000X · License 053450 (GA)

11 UPPER RIVERDALE RD SW, Riverdale, GA 30274

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Other Identifiers 1

Medicaid990103456AGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

KAREN KRECHMERY NP

Nurse Practitioner