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

Southern Crescent Family Practice, LLC

Organization Family Medicine Physician · NPI 1396923538

Southern Crescent Family Practice, LLC provides Family Medicine Physician services in Forest Park, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

525 Forest Pkwy Ste 100
Forest Park, GA 30297-2149 Not confirmed with CMS for 18 years — call before visiting
Phone: (678) 705-0100
Fax: (678) 235-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 044158 (GA)

Record details

NPI number1396923538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Faith Andrews — Owner · (678) 705-0100
NPI enumeratedFebruary 8, 2008
Last updated in NPPESMay 15, 2008
Mailing address525 Forest Pkwy, Suite 100, Forest Park, GA 30297-2149

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