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

Southern Crescent Surgical Assisting P C

Organization Family Nurse Practitioner · NPI 1316257041

Southern Crescent Surgical Assisting P C is a Family Nurse Practitioner in Saint Simons Island, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2010

Practice location Address checks out

798 Mallery St Apt 2
Saint Simons Island, GA 31522-4021
Phone: (404) 408-8696
Show map & directions

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

Additional practice locations (1)

  • 1032 Laurel Ridge Dr, McDonough, GA 30252-8421 — (404) 408-8696

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN096995 (GA)

Record details

NPI number1316257041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Barnard — Ceo · (404) 408-8696
NPI enumeratedOctober 15, 2010
Last updated in NPPESJuly 1, 2019
Mailing address798 Mallery St Apt 2, Saint Simons Island, GA 31522-4021