CROSSROADS MEDICAL GROUP, PLLC (NPI# 1073539607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073539607 |
| Entity Type | Organization |
| Organization Name | CROSSROADS MEDICAL GROUP, PLLC |
| Other Organization Name | CROSSROADS MEDICAL GROUP |
| Practice Address |
491 Sage Rd. Suite 200 White House TN 37188-8193 |
| Mailing Address |
Po Box 1669 White House TN 37188-1669 |
| Practice Telephone | 6156727122 |
| Practice Fax Number | 6156728122 |
| Mailing Telephone | 6156725177 |
| Mailing Fax Number | 6156725366 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | MR. ROBERT E. FERGUSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6156727122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crossroads Medical Group | Former Legal Business Name - Organization |
| Street Address |
491 SAGE RD. SUITE 200 |
| City | WHITE HOUSE |
| State | TN |
| Zip Code | 37188-8193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909350 | Brandie White | Dentist | 2823 Hwy 31w South Ste 300, White House, TN 37188 | 2020-10-16 |
| 1790336147 | Seven Springs Orthopaedics, PC | Physical Therapist | 707 Highway 76, White House, TN 37188 | 2019-09-26 |
| 1689194623 | Philip B Vickery Frederick L Jones Jr Dba The Smile Center | Dentist | 2823 Hwy 31 W South, White House, TN 37188 | 2017-06-21 |
| 1699213868 | Aaron Pitts | Nurse Practitioner | 305 Skyline Dr, White House, TN 37188 | 2017-02-07 |
| 1609266097 | Blerta Abdi Selden | Dentist | 520 Tn 76, Suite 9, White House, TN 37188 | 2015-01-23 |
| 1538498399 | Elizabeth Price | Nurse Practitioner | 510 West Hwy 76, White House, TN 37188 | 2009-12-08 |
| 1790950020 | Beverly Matthews | Nurse Practitioner | 128 Raymond Hirsch Parkway, Whitehouse, TN 37188 | 2008-04-28 |
| 1417126103 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 222 Wilkinson Lane, White House, TN 37188 | 2008-02-27 |
| 1528249737 | Crossroads Sleep Center,pllc | Clinical Medical Laboratory | 491 Sage Road, Suite 300, White House, TN 37188 | 2007-11-15 |
| 1952596694 | White House Health Care Inc | Assisted Living Facility | 100 Clinton Dr, White House, TN 37188 | 2007-09-06 |
| Find all providers in zip 37188 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427297472 | Simonton Eye Care Clinic | Clinic/Center | 2823 Highway 31 W # South, White House, TN 37188-5241 | 2009-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689287997 | Asclepius Ai Inc | Clinic/Center | 800 Market St Ste 200, Chattanooga, TN 37402-2677 | 2020-08-26 |
| 1306459045 | Surgco, Plc | Clinic/Center | 107 Glen Oak Blvd Ste 201a, Hendersonville, TN 37075-3000 | 2020-08-24 |
| 1780207670 | Neelam Patel Md Inc | Clinic/Center | 276 Warfield Blvd, Clarksville, TN 37043-5952 | 2020-05-26 |
| 1306468152 | Advanced Spine and Wellness | Clinic/Center | 176 Thompson Ln Ste 102, Nashville, TN 37211-2468 | 2020-05-15 |
| 1821619560 | Takoma Regional Hospital, Inc. | Clinic/Center | 1021 Coolidge St Ste 5, Greeneville, TN 37743-4692 | 2020-05-05 |
| 1861013864 | Blue Ridge Medical Management C Orporation | Clinic/Center | 403 Princeton Rd Ste 10, Johnson City, TN 37601-2062 | 2020-04-30 |
| 1780205013 | Medworx | Clinic/Center | 4822 Old Hickory Blvd, Hermitage, TN 37076-2502 | 2020-04-28 |
| 1366078669 | Np Cares, LLC | Clinic/Center | 4515 Poplar Ave Ste 131, Memphis, TN 38117-7503 | 2020-03-18 |
| 1326670555 | East Memphis Urgent Medical Clinic PC | Clinic/Center | 6515 Poplar Ave Ste 106, Memphis, TN 38119-4878 | 2020-02-05 |
| 1225673395 | The Transformation Doctor, LLC Dba Wellnessmd | Clinic/Center | 3680 S Houston Levee Rd Ste 104, Collierville, TN 38017-9151 | 2019-11-13 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HOUSE |
| Zip Code | 37188 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.