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SOUTHERN CRESCENT BREAST SPECIALISTS,PC
NPI 1922173723
Specialist in Lake Spivey, GA

Active since November 21, 2006
7823 SPIVEY STATION BLVD, SUITE 200, LAKE SPIVEY, GA 30236(770) 507-5055(770) 507-5880 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Southern Crescent Breast Specialists,pc NPPES

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

SOUTHERN CRESCENT BREAST SPECIALISTS,PC (NPI 1922173723) is a healthcare organization registered as a specialist in Lake Spivey, Georgia and active in the NPI registry since November 2006. The organization lists Wendy Pearson, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1922173723
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN CRESCENT BREAST SPECIALISTS,PC
Location Address7823 SPIVEY STATION BLVD, SUITE 200Lake Spivey, GA 30236-2886
Mailing Address7823 Spivey Station Blvd, Suite 200Lake Spivey, GA 30236-2886 · (770) 507-5055 · Fax (770) 507-5880
Phone(770) 507-5055
Fax(770) 507-5880
Organization SubpartNo
Authorized OfficialWendy PearsonPractice Administrator · (770) 507-5055
Enumeration DateNovember 21, 2006
Last NPPES UpdateAugust 8, 2008
✔ NPI 1922173723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7823 SPIVEY STATION BLVD, Lake Spivey, GA 30236
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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

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.

REBECCA MCPHAIL PA-C
Physician Assistant (Medical)
7823 SPIVEY STATION BLVD
JONESBORO, GA 30236
Clayton County (770) 996-1122
DR. JASON ADAM BITKOWSKI D.O.
Surgery
7823 SPIVEY STATION BLVD, SUITE 200
JONESBORO, GA 30236
Clayton County (770) 507-5055
ORTHOPEDIC SOLUTIONS, PC
Orthopaedic Surgery
7823 SPIVEY STATION BLVD, SUITE 300
JONESBORO, GA 30236
Clayton County (770) 233-3444
GEORGIA CANCER SPECIALISTS I, PC
Internal Medicine (Hematology & Oncology)
7823 SPIVEY STATION BLVD, SUITE 300
JONESBORO, GA 30236
Clayton County (770) 692-9371
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC
Durable Medical Equipment & Medical Supplies
7823 SPIVEY STATION BLVD, SUITE 300
JONESBORO, GA 30236
Clayton County (770) 692-9371
NORTHSIDE HOSPITAL INC
Clinic/Center (Multi-Specialty)
7823 SPIVEY STATION BLVD
JONESBORO, GA 30236
Clayton County (770) 996-1122
SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
Surgery
7823 SPIVEY STATION BLVD, SUITE 300
JONESBORO, GA 30236
Clayton County (770) 268-6000
SOUTHERN CRESCENT PRIMARY CARE
Internal Medicine
7823 SPIVEY STATION BLVD, SUITE 210
JONESBORO, GA 30236
Clayton County (678) 610-2916

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 Breast Specialists,pc's NPI number?

The NPI number for Southern Crescent Breast Specialists,pc is 1922173723. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Southern Crescent Breast Specialists,pc located?

Southern Crescent Breast Specialists,pc is located at 7823 Spivey Station Blvd Suite 200, Lake Spivey, GA 30236. The listed phone number is (770) 507-5055.

What is Southern Crescent Breast Specialists,pc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southern Crescent Breast Specialists,pc was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.