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

Southern Crescent Physicians Group, Inc

Organization Surgery Physician · NPI 1568861268

Southern Crescent Physicians Group, Inc provides Surgery Physician services in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
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

325 N Jeff Davis Dr
Fayetteville, GA 30214-1627 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 461-1337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 072414 (GA)

Record details

NPI number1568861268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John McClain — Ceo · 77089770566
NPI enumeratedAugust 19, 2014
Last updated in NPPESAugust 19, 2014
Mailing address11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615

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