SOUTHERN CRESCENT MEDICAL CLINIC, INC.
NPI 1972650661
Internal Medicine in Jonesboro, GA

Active since January 04, 2007
696 MOUNT ZION RD, SUITE C-4, JONESBORO, GA 30236(770) 968-1746(770) 968-0727 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Southern Crescent Medical Clinic, Inc. NPPES

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

SOUTHERN CRESCENT MEDICAL CLINIC, INC. (NPI 1972650661) is a healthcare organization registered as an internal medicine in Jonesboro, Georgia and active in the NPI registry since January 2007. The organization lists Michael Thomas Hartpence, Owner, as its authorized official.

NPPES Registry Identity

NPI1972650661
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHERN CRESCENT MEDICAL CLINIC, INC.
Location Address696 MOUNT ZION RD, SUITE C-4Jonesboro, GA 30236-1597
Mailing Address530 Birkdale DrFayetteville, GA 30215-2724 · (770) 460-7613 · Fax (770) 968-0727
Fax(770) 968-0727
Organization SubpartNo
Authorized OfficialMichael Thomas HartpenceOwner · (770) 460-7613
Enumeration DateJanuary 4, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1972650661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedChiropractorTaxonomy 111N00000X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Chiropractor
696 MOUNT ZION RD, SUITE C-4
JONESBORO, GA 30236
Chiropractor
696 MOUNT ZION RD, STE. C4
JONESBORO, GA 30236
Social Worker (Clinical)
696 MOUNT ZION RD, SUITE 9-C
JONESBORO, GA 30236
Counselor (Professional)
696 MOUNT ZION RD, STE. 7B
JONESBORO, GA 30236
Internal Medicine
696 MOUNT ZION RD, SUITE C-4
JONESBORO, GA 30236
Hospice Care, Community Based
696 MOUNT ZION RD, SUITE 3-B
JONESBORO, GA 30236
Speech-Language Pathologist
696 MOUNT ZION RD, SUITE 3B
JONESBORO, GA 30236
Chiropractor
696 MOUNT ZION RD, SUITE C-4
JONESBORO, GA 30236

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 Medical Clinic, Inc.'s NPI number?

The NPI number for Southern Crescent Medical Clinic, Inc. is 1972650661. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Southern Crescent Medical Clinic, Inc. located?

Southern Crescent Medical Clinic, Inc. is located at 696 Mount Zion Rd Suite C-4, Jonesboro, GA 30236. The listed phone number is (770) 968-1746.

What is Southern Crescent Medical Clinic, Inc.'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 Medical Clinic, Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.