SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
NPI 1588069900
Psychiatry & Neurology - Neurology in Riverdale, GA
NPI Status: Active since October 28, 2014
Contact Information
11 UPPER RIVERDALE RD SW
TERRACE LEVEL
RIVERDALE, GA
ZIP 30274
Phone: (770) 996-3190
Fax: (770) 996-3529
- Organization
- Psychiatry & Neurology
- Neurology
About SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
This page provides the complete NPI Profile along with additional information for Southern Crescent Physicians Group, Inc., a provider established in Riverdale, Georgia operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1588069900 assigned on October 2014. The practitioner's primary taxonomy code is 2084N0400X with license number 028352 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. Southern Crescent Physicians Group, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is John Mclain (Coo)
- NPI
- 1588069900
- Provider Name
- SOUTHERN CRESCENT PHYSICIANS GROUP, INC.
- Entity Type
- Organization
- Location Address
- 11 UPPER RIVERDALE RD SW TERRACE LEVEL RIVERDALE, GA 30274
- Location Phone
- (770) 996-3190
- Location Fax
- (770) 996-3529
- Mailing Address
- 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-28-2014
- Last Update Date
- 06-22-2015
- 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.
- 028352
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | 053450 (GA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
|---|---|---|---|
| 990103456A | MEDICAID (05) | GA |
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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 | 5 | 8 | 8 | 0 | 6 | 9 | 9 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 0 | 6 | 18 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 0 + 6 + 1 + 8 + 9 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1588069900 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447237656 | ELIZABETH L HADLEY MD Individual | Radiology (Diagnostic Radiology) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 991-8000 |
| 1124098470 | DR. NANCY ELIZABETH NEWTON M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 991-8615 |
| 1699737163 | DR. HAROLD P BRUSMAN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 11 UPPER RIVERDALE RD SW PATH DEPT RIVERDALE, GA 30274 (770) 991-8615 |
| 1215999024 | DR. FRANCISCO J VELEZ-REBOYRAS M.D. Individual | Specialist | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 991-8288 |
| 1912960048 | DR. ADEGBOYEGA ADERIBIGBE M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 991-8297 |
| 1598715856 | CARRIE LYNN EDWARDS Individual | Emergency Medicine (Emergency Medical Services) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 994-9326 |
| 1811947112 | IDA MARIE DUNN NP Individual | Nurse Practitioner | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 994-9326 |
| 1548212830 | JUMOKE ALIM MD Individual | Emergency Medicine (Emergency Medical Services) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 994-9326 |
| 1861410490 | ANTONIO J GOMES JR. PA Individual | Physician Assistant (Medical) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 994-9326 |
| 1740388172 | WILLIAM LYNDS MD Individual | Emergency Medicine (Emergency Medical Services) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 994-9326 |
| 1235227737 | SOUTHERN CRESCENT HOSPITAL FOR SPECIALTY CARE, INC. Organization | Long Term Care Hospital | 11 UPPER RIVERDALE RD SW 6TH FLOOR RIVERDALE, GA 30274 (770) 897-7603 |
| 1508944869 | PETER STECKL MD Individual | Emergency Medicine (Emergency Medical Services) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 994-9326 |
| 1265507784 | WILLIAM WATKINS MD Individual | Emergency Medicine (Emergency Medical Services) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 994-9326 |
| 1194885673 | MICHAEL BOURLAND MD Individual | Emergency Medicine (Emergency Medical Services) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 994-9326 |
| 1003022310 | KAREN KRECHMERY NP Individual | Nurse Practitioner | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 994-9326 |
| 1649470105 | GENA M ABRAMS-CARDOZA P.T. Individual | Physical Therapist | 11 UPPER RIVERDALE RD SW 6TH FLOOR RIVERDALE, GA 30274 (770) 897-7600 |
| 1811290695 | SHAWN LEDFORD CRNA Individual | Nurse Anesthetist, Certified Registered | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 478-9877 |
| 1548247729 | JOHN B BLACK MD Individual | Radiology (Diagnostic Radiology) | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 991-8000 |
| 1144577024 | SOUTH SOUND INPATIENT PHYSICIANS, PLLC Organization | Hospitalist | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 991-8000 |
| 1831190958 | SOUTHERN REGIONAL HEALTH SYSTEM, INC Organization | General Acute Care Hospital | 11 UPPER RIVERDALE RD SW RIVERDALE, GA 30274 (770) 991-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588069900, enumerated in the NPI registry as an "organization" on October 28, 2014
The provider is located at 11 Upper Riverdale Rd Sw Terrace Level Riverdale, Ga 30274 and the phone number is (770) 996-3190
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
The provider might be accepting Accepts: Medicare and Medicaid. 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 October 28, 2014. 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].
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