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SOUTHERN CRESCENT PRIMARY CARE
NPI 1922267129
Internal Medicine in Jonesboro, GA

Active since June 03, 2008
7823 SPIVEY STATION BLVD, SUITE 210, JONESBORO, GA 30236(678) 610-2916(678) 610-2925 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Crescent Primary Care NPPES

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

SOUTHERN CRESCENT PRIMARY CARE (NPI 1922267129) is a healthcare organization registered as an internal medicine in Jonesboro, Georgia and active in the NPI registry since June 2008. The organization lists John Olubusola Ogundipe, Physician/president, as its authorized official.

NPPES Registry Identity

NPI1922267129
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHERN CRESCENT PRIMARY CARE
Location Address7823 SPIVEY STATION BLVD, SUITE 210Jonesboro, GA 30236-2886
Mailing Address7823 Spivey Station Blvd, Suite 210Jonesboro, GA 30236-2886 · (678) 610-2916 · Fax (678) 610-2925
Phone(678) 610-2916
Fax(678) 610-2925
Organization SubpartNo
Authorized OfficialJohn Olubusola OgundipePhysician/president · (678) 610-2916
Enumeration DateJune 3, 2008
✔ NPI 1922267129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 039193
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7823 SPIVEY STATION BLVD, Jonesboro, GA 30236
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Other Identifiers 4

Medicaid000639768BGA
Other110239410GA · Railroad Medicare
Medicare UPING02934GA
Medicare PIN11BDQZQGA

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 BREAST SPECIALISTS,PC
Specialist
7823 SPIVEY STATION BLVD, SUITE 200
LAKE SPIVEY, GA 30236
Clayton County (770) 507-5055

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 Primary Care's NPI number?

The NPI number for Southern Crescent Primary Care is 1922267129. It was assigned to this organization in the NPPES registry on June 3, 2008.

Where is Southern Crescent Primary Care located?

Southern Crescent Primary Care is located at 7823 Spivey Station Blvd Suite 210, Jonesboro, GA 30236. The listed phone number is (678) 610-2916.

What is Southern Crescent Primary Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southern Crescent Primary Care was last updated on June 3, 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.