Southern Crescent Pediatrics PC
NPI 1972595999ActiveOrganization· Pediatrics· Stockbridge, GA
Pediatrics in Stockbridge, Georgia, registered in NPPES in August 2005. The authorized official on file is Juan Jose Sherwood, MD, President.
Overview
| NPI | 1972595999 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2005 |
| Last updated in NPPES | Sep 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
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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All 34 pediatricians in Stockbridge · All pediatricians in Georgia