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Southern Crescent Primary Care

Internal Medicine Physician in Jonesboro, GA · enumerated 2008 · authorized official John Ogundipe, Physician/President.

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

National Provider Identifier

1922267129

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Crescent Primary Care
Practice address 7823 Spivey Station Blvd, Suite 210, Jonesboro, GA, 30236
Phone (678) 610-2916
Fax (678) 610-2925
Enumeration date Jun 3, 2008
Last updated in NPPES Jun 3, 2008

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 039193 (GA) Primary

Authorized official

Name John Ogundipe
Title Physician/President
Phone (678) 610-2916

Other identifiers

Identifier Type State Issuer
000639768B Medicaid GA -
110239410 Other GA RAILROAD MEDICARE

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

Who is the authorized official for Southern Crescent Primary Care?
NPPES lists John Ogundipe (Physician/President) as the authorized official for this organization.
What is the NPI number for Southern Crescent Primary Care?
The NPI for Southern Crescent Primary Care is 1922267129, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-03.