Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Crescent Pediatrics PC

Organization Pediatrics Physician · NPI 1548252562

Southern Crescent Pediatrics PC is a Pediatrics Physician in Riverdale, Georgia. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6584 Professional Pl Ste C
Riverdale, GA 30274-4942
Phone: (770) 996-9225
Fax: (770) 997-6812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1548252562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Sherwood — President · (770) 389-9944
NPI enumeratedAugust 16, 2005
Last updated in NPPESAugust 22, 2020
Mailing address150 Medical Blvd, Ste B, Stockbridge, GA 30281-5053

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