SOUTHERN CRESCENT MEDICAL CLINIC, INC.
NPI 1972650661
Internal Medicine in Jonesboro, GA
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
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Crescent Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Southern Crescent Medical Clinic, Inc., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Southern Crescent Medical Clinic, Inc. enrolled in Medicare?
Yes. Southern Crescent Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Crescent Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Southern Crescent Medical Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Chiropractic (4), Internal Medicine (1) and Nurse Practitioner (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 13 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.
# Southern Crescent Medical Clinic, Inc. · NPI 1972650661
Internal Medicine organization in Jonesboro, Georgia. Organization record, active in the CMS NPPES registry since January 4, 2007.
## Identity
- **NPI:** 1972650661 (Entity type: Organization)
- **Enumerated:** January 4, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Michael Hartpence, OWNER
## Practice location
- **Address:** 696 MOUNT ZION RD, SUITE C-4, Jonesboro, GA 30236-1597
- **Phone:** (770) 968-1746 · **Fax:** (770) 968-0727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (4), Internal Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972650661) · Data from the CMS NPPES public registry.