Southern Crescent Medical Center, LLC
NPI 1578111910 · Family Medicine Physician · Stockbridge, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Crescent Medical Center, LLC is a Family Medicine Physician organization in Stockbridge, GA (NPI 1578111910).
Provider details
- NPI number
- 1578111910
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shantel Bryant, Owner(770) 629-4374
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Clinical Medical Laboratory291U00000X
Laboratories
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-29
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Frequently asked questions
- What is Southern Crescent Medical Center, LLC's NPI number?
- Southern Crescent Medical Center, LLC's National Provider Identifier (NPI) is 1578111910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Crescent Medical Center, LLC?
- Southern Crescent Medical Center, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Crescent Medical Center, LLC located?
- Southern Crescent Medical Center, LLC's practice location on file with NPPES is 3579 Highway 138 Se Ste 103, Stockbridge, GA 30281-4127.
- What is Southern Crescent Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Crescent Medical Center, LLC is (770) 629-4374.
- Does Southern Crescent Medical Center, LLC accept Medicare?
- Southern Crescent Medical Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Crescent Medical Center, LLC?
- The authorized official listed on Southern Crescent Medical Center, LLC's NPPES record is Shantel Bryant, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Crescent Medical Center, LLC's NPI active?
- Yes — Southern Crescent Medical Center, LLC's NPI (1578111910) is active in the NPPES registry as of the last update on 2025-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.