Southern Crescent Medical Clinic, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHERN CRESCENT MEDICAL CLINIC, INC.

Practice address

696 Mount Zion Rd
Suite C-4
Jonesboro, GA 30236-1597

Phone

(770) 968-1746

Fax

(770) 968-0727

NPI assigned

Jan 4, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Thomas HartpenceNPI 1760539613

Title

Owner

Phone

(770) 460-7613

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Thomas Hartpence, D.C.

  • Chiropractor
  • Jonesboro, GA
  • NPI 1760539613
  Medicare reassignment Care Compare group NPD Authorized official
• Julia Ann Bracco, DC

  • Chiropractor
  • Newnan, GA
  • NPI 1205990462
  Medicare reassignment Care Compare group NPD
• Khanh T. Dinh, D.C.

  • Chiropractor
  • Jonesboro, GA
  • NPI 1174916860
  Medicare reassignment Care Compare group NPD
• Leah Faith Hartpence, APRN

  • Primary Care Nurse Practitioner
  • Jonesboro, GA
  • NPI 1740862762
  Medicare reassignment Care Compare group NPD
• Jay Lerner, D.C.

  • Chiropractor
  • Jonesboro, GA
  • NPI 1336340660
  Medicare reassignment Care Compare group NPD
• Joon Nam Lee, M.D.

  • Internal Medicine Physician
  • Jonesboro, GA
  • NPI 1619024486
  Medicare reassignment NPD
• Seth Schwartz, M.D.

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1396859716
  Medicare reassignment NPD
• Arie Cohen, D.C.

  • Chiropractor
  • Chatsworth, GA
  • NPI 1588752935
  NPD (past)
• Robert Mason Frisbie, D.C.

  • Chiropractor
  • Jonesboro, GA
  • NPI 1164579900
  NPD (past)
• Darin Chris Kourajian, DC

  • Chiropractor
  • Atlanta, GA
  • NPI 1477767804
  NPD (past)
• Michael V McKinnie Jr., PT

  • Physical Therapist
  • Atlanta, GA
  • NPI 1447200688
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972650661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BIRKDALE DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152724",
            "telephone_number": "770-460-7613",
            "fax_number": "770-968-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD",
            "address_2": "SUITE C-4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361597",
            "telephone_number": "770-968-1746",
            "fax_number": "770-968-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CRESCENT MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HARTPENCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-460-7613"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Somogyi, MD
• Rajiv Sood, D.O.
• Sound & Stable Mind Inc.
• South Atlanta Primary Care PC
• Southern Crescent Home Care
• Southern Crescent Physicians Group, Inc.
• Southern Crescent Physicians Group, Inc.
• Southern Crescent Primary Care
• Southern Creseant Surgical Assistants
• Southlake Ambulatory Surgery Center, LLLP (Spivey Station Surgery Center)

• Internal Medicine Physician in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.