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: August 16, 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
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

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

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, 2026
CLIA Number11D1004711
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
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.

Other Providers at the Same Location NPPES 5

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

Home Health
250 VILLAGE CENTER PKWY, STE 200
STOCKBRIDGE, GA 30281
Nurse Practitioner (Acute Care)
250 VILLAGE CENTER PKWY, SUITE 100
STOCKBRIDGE, GA 30281
Internal Medicine (Nephrology)
250 VILLAGE CENTER PKWY, SUITE 100
STOCKBRIDGE, GA 30281
Internal Medicine (Nephrology)
250 VILLAGE CENTER PKWY, SUITE 100
STOCKBRIDGE, GA 30281
Internal Medicine (Nephrology)
250 VILLAGE CENTER PKWY
STOCKBRIDGE, GA 30281

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.

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., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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.