Southern Crescent Medical Clinic, Inc.
NPI 1972650661ActiveOrganization· Internal Medicine· Jonesboro, GA
Internal Medicine in Jonesboro, Georgia, registered in NPPES in January 2007. The authorized official on file is Michael Thomas Hartpence, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972650661 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | GA |
| Chiropractor | 111N00000X | — | 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) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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