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Southern Crescent Pediatrics PC

Pediatrics Physician in Riverdale, GA · enumerated 2005 · authorized official Juan Sherwood, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548252562

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Crescent Pediatrics PC
Practice address 6584 Professional Pl, Ste C, Riverdale, GA, 30274
Phone (770) 996-9225
Fax (770) 997-6812
Enumeration date Aug 16, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Juan Sherwood
Title President
Phone (770) 389-9944

Other identifiers

Identifier Type State Issuer
7802 Other - KAISER POS
0526682 Other - AETNA SELECT US HEALTHC
7802 Other - KAISER
1202577 Other - UNITED HEALTHCARE
276714 Other - BCBS
S06119 Other - SC HEALTHSOURCE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southern Crescent Pediatrics PC?
Southern Crescent Pediatrics PC is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.