Southern Crescent Nephrology, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOUTHERN CRESCENT NEPHROLOGY, PC

Practice address

250 Village Center Pkwy
Stockbridge, GA 30281-9044

Phone

(678) 289-0508

Fax

(770) 692-0301

NPI assigned

May 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Muhammed Rahman, MDNPI 1538144894

Title

Partner/Owner

Phone

(678) 289-0508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Metro Atlanta Access Center LLC

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1982818951

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCHAAA

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammed Hafiz Rahman, MD

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1538144894
  Medicare reassignment Care Compare group Authorized official
• Srikar Kumar

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1306265384

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Srinadh R. Palacharla, M.D.

  • Nephrology Physician
  • Smyrna, GA
  • NPI 1891724449
  Medicare reassignment Care Compare group NPD
• Saba Khan, M.D.

  • Nephrology Physician
  • Douglasville, GA
  • NPI 1821485921
  Medicare reassignment Care Compare group
• Sanjay Sharma, MD

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1760455125
  Medicare reassignment Care Compare group
• Janice Latrice Weatherspoon, MD

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1982819330
  Medicare reassignment Care Compare group
• Latoya Williams, APRN,BC

  • Acute Care Nurse Practitioner
  • Stockbridge, GA
  • NPI 1396720652
  Medicare reassignment Care Compare group
• Demetrious J. Blackmon, M.D.

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1578592994
  Medicare reassignment NPD
• Noble Chukwuemeka Iwuagwu, MD

  • Hospitalist Physician
  • Peachtree City, GA
  • NPI 1811004484

  Nephrology

  Medicare reassignment NPD
• Karine Erica Cameron Hutchinson, APRN

  • Acute Care Nurse Practitioner
  • Stockbridge, GA
  • NPI 1669071668
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1659328474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 VILLAGE CENTER PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819044",
            "telephone_number": "678-289-0508",
            "fax_number": "770-692-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 VILLAGE CENTER PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819044",
            "telephone_number": "678-289-0508",
            "fax_number": "770-692-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CRESCENT NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MUHAMMED",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "678-289-0508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Compassion Home Care LLC
• Southern Crescent Care,LLC
• Southern Crescent Endoscopy Suite, PC
• Southern Crescent ENT, P.C.
• Southern Crescent Medical Center, LLC
• Southern Crescent Pain Management LLC
• Southern Crescent Pediatrics PC
• Southern Crescent Plastic Surgery ASC
• Southern Crescent Plastic Surgery, PC
• Southern Crescent Women'S Health Specialists

• Nephrology Physician in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.