Southern Crescent Medical Clinic, Inc. - Medicare in Jonesboro, GA

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Southern Crescent Medical Clinic, Inc. is a medicare enrolled "Internal Medicine" provider in Jonesboro, Georgia. Their current practice location is 696 Mount Zion Rd, Suite C-4, Jonesboro, Georgia. You can reach out to their office (for appointments etc.) via phone at (770) 968-1746.

Southern Crescent Medical Clinic, Inc. is licensed to practice in Georgia (license number ) and it also participates in the medicare program. Southern Crescent Medical Clinic, Inc. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1972650661.

Contact Information

Southern Crescent Medical Clinic, Inc.
696 Mount Zion Rd, Suite C-4,
Jonesboro, GA 30236-1597
(770) 968-1746
(770) 968-0727

Map and Direction




Healthcare Provider's Profile

Full NameSouthern Crescent Medical Clinic, Inc.
TypeFacility
SpecialityInternal Medicine
Location696 Mount Zion Rd, Jonesboro, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972650661
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 08/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7214824655
  • Enrollment ID: O20040302000028

Medical Identifiers

Medical identifiers for Southern Crescent Medical Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972650661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (Georgia)Primary
207R00000XInternal Medicine (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Crescent Medical Clinic, Inc. acts as a billing entity for following providers:
Provider NameJoon Nam Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619024486
PECOS PAC ID: 0042108383
Enrollment ID: I20040308001156
Provider NameSeth A Schwartz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1396859716
PECOS PAC ID: 8426053885
Enrollment ID: I20060919000289
Provider NameJay Lerner
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1336340660
PECOS PAC ID: 3375692890
Enrollment ID: I20090512000505
Provider NameMichael T Hartpence
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1760539613
PECOS PAC ID: 8022905462
Enrollment ID: I20120113000277
Provider NameKhanh T. Dinh
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1174916860
PECOS PAC ID: 0840617320
Enrollment ID: I20200828001544
Provider NameLeah Faith Hartpence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740862762
PECOS PAC ID: 0840652269
Enrollment ID: I20230817001255
Provider NameJulia Ann Bracco
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1205990462
PECOS PAC ID: 6800258039
Enrollment ID: I20230818002485

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southern Crescent Medical Clinic, Inc. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Crescent Medical Clinic, Inc.
530 Birkdale Dr,
Fayetteville, GA 30215-2724

Ph: (770) 460-7613		Southern Crescent Medical Clinic, Inc.
696 Mount Zion Rd, Suite C-4,
Jonesboro, GA 30236-1597

Ph: (770) 968-1746

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.