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

NPI Status: Active since October 28, 2014

Contact Information

11 UPPER RIVERDALE RD SW
TERRACE LEVEL
RIVERDALE, GA
ZIP 30274
Phone: (770) 996-3190
Fax: (770) 996-3529

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  • Organization
  • Psychiatry & Neurology
  • Neurology

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 Riverdale, Georgia operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1588069900 assigned on October 2014. The practitioner's primary taxonomy code is 2084N0400X with license number 028352 (GA). The provider is registered as an organization and their NPI record was last updated 11 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 Mclain (Coo)

NPI
1588069900
Provider Name
SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
Entity Type
Organization
Location Address
11 UPPER RIVERDALE RD SW TERRACE LEVEL RIVERDALE, GA 30274
Location Phone
(770) 996-3190
Location Fax
(770) 996-3529
Mailing Address
11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2014
Last Update Date
06-22-2015
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
028352
License State
GA
Taxonomy Description
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.

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)
1207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 MCLAIN

Authorized Official Title
COO
Authorized Official Phone
(770) 897-7546

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
990103456AMEDICAID (05)GA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588069900, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 0 + 6 + 1 + 8 + 9 + 0 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1588069900.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Pathology (Anatomic Pathology & Clinical Pathology)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Pathology (Anatomic Pathology & Clinical Pathology)
11 UPPER RIVERDALE RD SW, PATH DEPT
RIVERDALE, GA 30274
Specialist
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Pediatrics (Neonatal-Perinatal Medicine)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Emergency Medicine (Emergency Medical Services)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Nurse Practitioner
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Emergency Medicine (Emergency Medical Services)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Physician Assistant (Medical)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Emergency Medicine (Emergency Medical Services)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Long Term Care Hospital
11 UPPER RIVERDALE RD SW, 6TH FLOOR
RIVERDALE, GA 30274
Emergency Medicine (Emergency Medical Services)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Emergency Medicine (Emergency Medical Services)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Emergency Medicine (Emergency Medical Services)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Nurse Practitioner
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Physical Therapist
11 UPPER RIVERDALE RD SW, 6TH FLOOR
RIVERDALE, GA 30274
Nurse Anesthetist, Certified Registered
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Radiology (Diagnostic Radiology)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Hospitalist
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
General Acute Care Hospital
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588069900, enumerated as an "organization" on October 28, 2014.

The provider is located at 11 UPPER RIVERDALE RD SW TERRACE LEVEL RIVERDALE, GA 30274 and the phone number is (770) 996-3190.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.