Southern Crescent Physicians Group, Inc.
NPI 1174923478ActiveOrganization· Surgery· Jonesboro, GA
Surgery in Jonesboro, Georgia, registered in NPPES in August 2014. The authorized official on file is John McClain, Ceo.
Overview
| NPI | 1174923478 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2014 |
| Last updated in NPPES | Aug 25, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 072683 | GA |
| Orthopaedic Surgery | 207X00000X | 016401 | GA |
| Psychiatry & Neurology, Neurology | 2084N0400X | 053450 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
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