SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC
NPI 1013052182
Psychiatry & Neurology - Neurology in Fayetteville, GA
NPI Status: Active since February 20, 2007
Contact Information
1250 HIGHWAY 54 W
102
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 719-2965
Fax: (770) 719-2963
- Organization
- Psychiatry & Neurology
- Neurology
- Accepts Insurance
About SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC
This page provides the complete NPI Profile along with additional information for Southern Crescent Neurological Clinic,pc, a provider established in Fayetteville, Georgia operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1013052182 assigned on February 2007. The practitioner's primary taxonomy code is 2084N0400X with license number 031058 (GA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kenneth Jay Lazarus M.d. ,p.h.d. (Ceo)
- NPI
- 1013052182
- Provider Name
- SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC
- Entity Type
- Organization
- Location Address
- 1250 HIGHWAY 54 W 102 FAYETTEVILLE, GA 30214
- Location Phone
- (770) 719-2965
- Location Fax
- (770) 719-2963
- Mailing Address
- 1250 HIGHWAY 54 W 102 FAYETTEVILLE, GA 30214
- Mailing Phone
- (770) 719-2965
- Mailing Fax
- (770) 719-2963
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2007
- Last Update Date
- 06-21-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 031058
- License State
- GA
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP2807 | OTHER (01) | GA | MEDICARE FACILITY ID |
| 000406795D | MEDICAID (05) | GA | |
| ========= | OTHER (01) | GA | TIN |
Reviews for SOUTHERN CRESCENT NEUROLOGICAL CLINIC,PC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 5 | 2 | 1 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 5 | 4 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 5 + 4 + 1 + 1 + 6 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1013052182 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831177104 | MS. DEBBIE S. DAVIS MSN Individual | Nurse Practitioner (Family) | 1250 HIGHWAY 54 W SUITE #102 FAYETTEVILLE, GA 30214 (678) 817-1117 |
| 1689602385 | DR. KENNETH J LAZARUS MD,PHD Individual | Psychiatry & Neurology (Neurology) | 1250 HIGHWAY 54 W STE. 102 FAYETTEVILLE, GA 30214 (770) 719-2965 |
| 1396813986 | MS. CLAVEL A GITTENS FNP-BC Individual | Nurse Practitioner (Family) | 1250 HIGHWAY 54 W SUITE 102 FAYETTEVILLE, GA 30214 (678) 817-1117 |
| 1013110139 | MRS. HARVELYN DUNCAN SMITH P.T. Individual | Physical Therapist | 1250 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7290 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013052182, enumerated in the NPI registry as an "organization" on February 20, 2007
The provider is located at 1250 Highway 54 W 102 Fayetteville, Ga 30214 and the phone number is (770) 719-2965
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.