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

Southern Crescent Physicians Group, Inc

Organization Neurological Surgery Physician · NPI 1588069900

Southern Crescent Physicians Group, Inc is a Neurological Surgery Physician in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
Specialties on file
2
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

11 Uppr Riverdale RD SW Terrace Level
Riverdale, GA 30274-2615
Phone: (770) 996-3190
Fax: (770) 996-3529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 028352 (GA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 053450 (GA)

Record details

NPI number1588069900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John McLain — Coo · (770) 897-7546
NPI enumeratedOctober 28, 2014
Last updated in NPPESJune 22, 2015
Mailing address11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615

Other providers in Riverdale