Southern Crescent Physicians Group, Inc
NPI 1174922520ActiveOrganization· Plastic Surgery· Riverdale, GA
Plastic Surgery in Riverdale, Georgia, registered in NPPES in August 2014. The authorized official on file is John McClain, Ceo.
Overview
| NPI | 1174922520 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2014 |
| Last updated in NPPES | Jun 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 072414 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Plastic Surgery providers in Riverdale
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