Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHERN CRESCENT MEDICAL CENTER, LLC
Active
Organization
SOUTHERN CRESCENT MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTEL BRYANT (OWNER)
(770) 629-4374
Entity
Organization
Contact information
Practice address
3579 HIGHWAY 138 SE STE 103, STOCKBRIDGE, GA 30281-4127
(770) 629-4374
(678) 545-1735
Mailing address
3579 HIGHWAY 138 SE STE 103, STOCKBRIDGE, GA 30281-4127
(770) 629-4374
(678) 545-1735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/29/2019
Last updated
09/08/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers