CROSSROADS FAMILY PRACTICE AND URGENT CARE LLC (NPI# 1487601514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487601514 |
| Entity Type | Organization |
| Organization Name | CROSSROADS FAMILY PRACTICE AND URGENT CARE LLC |
| Practice Address |
3150 Highway 153 Piedmont SC 29673-9498 |
| Mailing Address |
Po Box 51539 Piedmont SC 29673-2047 |
| Practice Telephone | 8642951293 |
| Practice Fax Number | 8642951294 |
| Mailing Telephone | 8642951293 |
| Mailing Fax Number | 8642951294 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | DR. WILLIAM M SCOTT III (PRESIDENT) |
| Authorized Official Telephone | 8642951293 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GROUP NUMBER | 05 | |
| SC | ========= | FEDERAL ID | 01 |
| SC | 1942296181 | INDIVIDUAL NPI NUMBE | 01 |
| Street Address |
3150 HIGHWAY 153 |
| City | PIEDMONT |
| State | SC |
| Zip Code | 29673-9498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003873779 | W. Clark Jernigan | Orthopaedic Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2006-04-27 |
| 1184083982 | Powdersville Health Internal Medicine | Clinic/Center | 3150 Highway 153, Piedmont, SC 29673-9498 | 2016-02-22 |
| 1881087344 | Janice D Lee | Nurse Practitioner | 3150 Highway 153, Piedmont, SC 29673-9498 | 2015-03-09 |
| 1043458367 | Rakhi Shah Barkowski | Internal Medicine | 3150 Highway 153, Piedmont, SC 29673-9498 | 2009-01-23 |
| 1447456975 | Foothills Ortho & Sports Medicine | Specialist | 3150 Highway 153, Piedmont, SC 29673-9498 | 2007-06-22 |
| 1326193418 | Advance Laser & Minimally Invasive Surgery | Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2007-01-25 |
| 1356493423 | Anne-claire Edwards | Orthopaedic Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2007-01-17 |
| 1194896647 | Addictionology Associates LLC | Counselor | 3150 Highway 153, Piedmont, SC 29673-9498 | 2006-11-13 |
| 1629153283 | Marc Anthony Tanner | Orthopaedic Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2006-10-25 |
| 1851492581 | John P. Evans | Orthopaedic Surgery | 3150 Highway 153, Piedmont, SC 29673-9498 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982674 | Coco Carter | Licensed Practical Nurse | 210 Helen St, Piedmont, SC 29673 | 2020-11-06 |
| 1962975888 | Powdersville Family Pharmacy LLC | Pharmacy | 11061 Anderson Road, Piedmont, SC 29673 | 2019-01-03 |
| 1720571003 | Ingles Markets Inc | Pharmacy | 10903 Anderson Rd, Powdersville, SC 29673 | 2018-06-11 |
| 1982086518 | Joyce C. Gregory | Chore Provider | 2415 Fork Shoals Road, Piedmont, SC 29673 | 2015-06-19 |
| 1053741975 | Darlene Theresa Cooke | Massage Therapist | 100 New Cut Rd, Piedmont, SC 29673 | 2013-11-13 |
| 1497004311 | Robyn Deann Bailey | Pharmacist | 3460 Hwy 153, Piedmont, SC 29673 | 2012-09-06 |
| 1114276003 | Charity W Speed | Pharmacist | 7501 Augusta Road, Piedmont, SC 29673 | 2012-09-06 |
| 1033499827 | Joyce C Gregory | Community Based Residential Treatment Facility, Mental Illness | 2415 Fork Shoals Rd, Piedmont, SC 29673 | 2011-08-24 |
| 1801074273 | Richard Ernest Parnell Jr. | Chiropractor | 108b Clair Dr, Piedmont, SC 29673 | 2008-02-07 |
| 1487854956 | Upstate Neurology, P.a. | Specialist | 103 Clair Drive, Suite D, Piedmont, SC 29673 | 2007-07-23 |
| Find all providers in zip 29673 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296181 | William M Scott IIi | Family Medicine | 206 Wall St, Piedmont, SC 29673-6754 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280396 | Achieve Behavioral Health, LLC | Family Medicine | 81 Pointe Cir Ste A, Greenville, SC 29615-3505 | 2019-08-14 |
| 1508305087 | Watauga Recovery Center,pc | Family Medicine | 21563 Whyte Hardee Blvd, Hardeeville, SC 29927 | 2017-02-17 |
| 1629050794 | Richard Lawrence Sherman | Family Medicine | 3 Roseberry Ln, Simpsonville, SC 29681-3620 | 2005-11-15 |
| 1104812692 | Fleetwood Internal Medicine Pa | Family Medicine | 109b Fleetwood Dr, Easley, SC 29640-2019 | 2005-09-21 |
| 1962015685 | Ovp Health Care, Inc. | Family Medicine | 709 Mill St, Camden, SC 29020-4738 | 2020-08-24 |
| 1568937647 | Breakthrough Medical, LLC | Family Medicine | 114b Hospital Dr, Simpsonville, SC 29681-3226 | 2018-10-04 |
| 1316459811 | Turning Point Behavioral Health Services | Family Medicine | 1107 Belleview St, Columbia, SC 29201-1810 | 2017-10-25 |
| 1477947927 | Patiently LLC | Family Medicine | 217 Calhoun St, Charleston, SC 29401-1313 | 2015-03-23 |
| 1972756609 | Roy E. Smith, M.d. | Family Medicine | 1111 Mill St, Camden, SC 29020-3763 | 2008-10-28 |
| 1538251368 | Raymond Van Grubbs | Family Medicine | 3 Roseberry Ln, Simpsonville, SC 29681-3620 | 2006-09-29 |
| Find all providers with the same taxonomy | ||||
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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.