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SOUTHERN CRESCENT ENT, P.C.
NPI 1841281391
Otolaryngology in Stockbridge, GA

Active since November 03, 2005
1101 HOSPITAL DR, SUITE 100A, STOCKBRIDGE, GA 30281(770) 474-7416(770) 389-6210 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Crescent Ent, P.c. NPPES

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

SOUTHERN CRESCENT ENT, P.C. (NPI 1841281391) is a healthcare organization registered as an otolaryngology in Stockbridge, Georgia and active in the NPI registry since November 2005. The organization lists Melissa Jean Elliott, Practicie Manager, as its authorized official.

NPPES Registry Identity

NPI1841281391
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSOUTHERN CRESCENT ENT, P.C.
Location Address1101 HOSPITAL DR, SUITE 100AStockbridge, GA 30281-9075
Mailing Address1101 Hospital Dr, Suite 100aStockbridge, GA 30281-9075 · (770) 474-7416 · Fax (770) 389-6210
Phone(770) 474-7416
Fax(770) 389-6210
Organization SubpartNo
Authorized OfficialMelissa Jean ElliottPracticie Manager · (770) 474-7416
Enumeration DateNovember 3, 2005
Last NPPES UpdateNovember 14, 2011
✔ NPI 1841281391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 039722
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License 046956 (GA)
1101 HOSPITAL DR, Stockbridge, GA 30281
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Other Identifiers 6

Medicare UPIND40713GA
Medicare UPINF99654GA
Medicare ID-Type Unspecified04BDCHSGA · Michael Avidano
Medicare ID-Type Unspecified04BDBZD01GA · Blanca Durand
Medicaid00677553AGA
Medicare ID-Type UnspecifiedGRP4228GA · Group #

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 MULTIPLE 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 ›

Other Providers at the Same Location NPPES 8

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

DR. STEVEN W LEARD M.D.
Pediatrics (Adolescent Medicine)
1101 HOSPITAL DR, SUITE 210
STOCKBRIDGE, GA 30281
Henry County (678) 289-0103
ANDREA HOOD STACK AU.D.
Audiologist
1101 HOSPITAL DR, SUITE 100A
STOCKBRIDGE, GA 30281
Henry County (770) 474-7416
CHRISTINA ZANE LUCZYNSKI AU.D.
Audiologist
1101 HOSPITAL DR, SUITE 100A
STOCKBRIDGE, GA 30281
Henry County (770) 474-7416
ARTHRITIS RESEARCH & TREATMENT CENTER
Internal Medicine (Rheumatology)
1101 HOSPITAL DR, SUITE 200
STOCKBRIDGE, GA 30281
Henry County (678) 289-5488
DR. HAROLD WILLIAM MOSS M.D.
Otolaryngology
1101 HOSPITAL DR, STE 100A
STOCKBRIDGE, GA 30281
Henry County (770) 474-7416
EAGLES LANDING PEDIATRIC ASSOCIATES LLC
Clinic/Center (Primary Care)
1101 HOSPITAL DR, SUITE 210
STOCKBRIDGE, GA 30281
Henry County (678) 289-0103
DR. MICHAEL ANTHONY AVIDANO M.D.
Otolaryngology
1101 HOSPITAL DR, STE 100A
STOCKBRIDGE, GA 30281
Henry County (770) 474-7416
DR. BLANCA ILEANA DURAND M.D.
Otolaryngology
1101 HOSPITAL DR, STE 100A
STOCKBRIDGE, GA 30281
Henry County (770) 474-7416

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 Ent, P.C.'s NPI number?

The NPI number for Southern Crescent Ent, P.C. is 1841281391. It was assigned to this organization in the NPPES registry on November 3, 2005.

Where is Southern Crescent Ent, P.C. located?

Southern Crescent Ent, P.C. is located at 1101 Hospital Dr Suite 100A, Stockbridge, GA 30281. The listed phone number is (770) 474-7416.

What is Southern Crescent Ent, P.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

What insurance does Southern Crescent Ent, P.C. 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 Ent, P.C. 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 Ent, P.C. was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.