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SOUTHERN CRESCENT NEPHROLOGY, PC
NPI 1659328474
Internal Medicine - Nephrology in Stockbridge, GA

Active since May 27, 2006CLIA Certified · 4 labs
250 VILLAGE CENTER PKWY, STOCKBRIDGE, GA 30281(678) 289-0508(770) 692-0301 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 7, 2021, Mar 1, 2019 (2 updates tracked since 2019).

About Southern Crescent Nephrology, Pc NPPES

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

SOUTHERN CRESCENT NEPHROLOGY, PC (NPI 1659328474) is a healthcare organization registered as a nephrology in Stockbridge, Georgia and active in the NPI registry since May 2006. The organization holds 4 active CLIA laboratory certificates and lists Muhammed Rahman, Partner/owner, as its authorized official.

NPPES Registry Identity

NPI1659328474
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHERN CRESCENT NEPHROLOGY, PC
Location Address250 VILLAGE CENTER PKWYStockbridge, GA 30281-9044
Mailing Address250 Village Center PkwyStockbridge, GA 30281-9044 · (678) 289-0508 · Fax (770) 692-0301
Phone(678) 289-0508
Fax(770) 692-0301
Organization SubpartNo
Authorized OfficialMuhammed RahmanPartner/owner · (678) 289-0508
Enumeration DateMay 27, 2006
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1659328474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
250 VILLAGE CENTER PKWY, Stockbridge, GA 30281
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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 Alliant Health Plans, Inc..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 Nephrology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Southern Crescent Nephrology, PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Srikar Kumar
Nephrology
NPI 1306265384
250 VILLAGE CENTER PKWY STE 100
Stockbridge, GA 30281
(678) 289-0508
✔ PECOS✔ Accepts MedicareSame address
Demetrious Blackmon, M.D.
Nephrology
NPI 1578592994
250 VILLAGE CENTER PWKY SUITE 100
Stockbridge, GA 30281
(678) 289-0508
✔ PECOSSame address
Muhammed Rahman, MD
Nephrology
NPI 1538144894
250 VILLAGE CENTER PKWY SUITE 100
Stockbridge, GA 30281
(678) 289-0508
✔ PECOS✔ Accepts MedicareSame address
Sanjay Sharma, MD
Nephrology
NPI 1760455125
250 VILLAGE CENTER PKWY SUITE 100
Stockbridge, GA 30281
(678) 289-0508
✔ PECOS✔ Accepts MedicareSame address
Janice Weatherspoon, MD
Nephrology
NPI 1982819330
250 VILLAGE CENTER PKWY
Stockbridge, GA 30281
(678) 289-0508
✔ PECOS✔ Accepts MedicareSame address
Latoya Williams, APRN,BC
Nurse Practitioner
NPI 1396720652
250 VILLAGE CENTER PKWY SUITE 100
Stockbridge, GA 30281
(678) 289-0508
✔ PECOS✔ Accepts MedicareSame address
Noble Iwuagwu, MD
Nephrology
NPI 1811004484
150 CREEKRISE DR
Peachtree City, GA 30269
(706) 535-1565
✔ PECOS✔ Accepts Medicare21 mi
Srinadh Palacharla, M.D.
Nephrology
NPI 1891724449
3606 HIGHLANDS PKWY SE BUILDING #1
Smyrna, GA 30082
(678) 303-5082
✔ PECOS✔ Accepts Medicare27 mi
Saba Khan, M.D.
Internal Medicine
NPI 1821485921
8570 HOSPITAL DR
Douglasville, GA 30134
(470) 227-8130
✔ PECOS✔ Accepts Medicare34 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 4

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 for Provider-Performed Microscopy Procedures (PPMP) 11D1004711

Southern Crescent Nephrology PC · Stockbridge, GA
Active · expires Oct 2, 2028
CLIA Number11D1004711
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2026
Certificate Expiration DateOctober 2, 2028
Laboratory DirectorUma M. Kumar MD
Laboratory Phone(678) 289-0508
Laboratory LocationSouthern Crescent Nephrology PC250 Village Center Parkway, Stockbridge, GA 30281
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 11D2304086

Southern Crescent Nephrology, PC · Fayetteville, GA
Active · expires May 6, 2028
CLIA Number11D2304086
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorMuhammed H. Rahman
Laboratory Phone(678) 289-0508
Laboratory LocationSouthern Crescent Nephrology, PC101 Yorktown Drive, Suite 209-B, Fayetteville, GA 30214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1055101

Southern Crescent Nephrology PC · Griffin, GA
Active · expires Mar 31, 2027
CLIA Number11D1055101
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorMuhammed H. Rahman
Laboratory Phone(678) 289-0508
Laboratory LocationSouthern Crescent Nephrology PC415 South 8th Street, Griffin, GA 30224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1075285

Southern Crescent Nephrology PC · Locust Grove, GA
Active · expires Mar 31, 2027
CLIA Number11D1075285
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorMuhammed H. Rahman
Laboratory Phone(678) 289-0508
Laboratory LocationSouthern Crescent Nephrology PC531 Stanley K Tanger Blvd, Locust Grove, GA 30248
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 Nephrology, PC's NPI number?

The NPI number for Southern Crescent Nephrology, PC is 1659328474. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Southern Crescent Nephrology, PC located?

Southern Crescent Nephrology, PC is located at 250 Village Center Pkwy, Stockbridge, GA 30281. The listed phone number is (678) 289-0508.

What is Southern Crescent Nephrology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Southern Crescent Nephrology, PC enrolled in Medicare?

Yes. Southern Crescent Nephrology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Crescent Nephrology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Crescent Nephrology, 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. The largest specialties are Nephrology (7), Internal Medicine (1) and Nurse Practitioner (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Crescent Nephrology, PC hold CLIA laboratory certificates?

Yes. 4 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 Nephrology, PC accept?

Health plans from Alliant Health Plans, Inc. list Southern Crescent Nephrology, 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 Nephrology, PC was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.