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

Southern Crescent Physicians Group, Inc

Organization Orthopaedic Surgery Physician · NPI 1174923478

Southern Crescent Physicians Group, Inc is an Orthopaedic Surgery Physician in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7813 Spivey Station Blvd Ste 100
Jonesboro, GA 30236-2900
Phone: (770) 996-3190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 072683 (GA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 016401 (GA)
Neurology Physician Taxonomy 2084N0400X · Licence 053450 (GA)

Record details

NPI number1174923478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John McClain — Ceo · (770) 897-7056
NPI enumeratedAugust 25, 2014
Last updated in NPPESAugust 25, 2014
Mailing address11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615

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