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

Southern Crescent Primary Care

Organization Internal Medicine Physician · NPI 1922267129

Southern Crescent Primary Care is an Internal Medicine Physician in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008

Practice location Address checks out

7823 Spivey Station Blvd Ste 210
Jonesboro, GA 30236-2886
Phone: (678) 610-2916
Fax: (678) 610-2925
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 039193 (GA)

Record details

NPI number1922267129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ogundipe — Physician/President · (678) 610-2916
NPI enumeratedJune 3, 2008
Last updated in NPPESJune 3, 2008
Mailing address7823 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2886

Other providers in Jonesboro