NPIMap

Organization Active NPI

Crossroads Medical Group, PLLC

  • Rural Health Clinic/Center
  • White House, TN
National Provider Identifier
1073371613
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CROSSROADS MEDICAL GROUP, PLLC
Practice address
291 Sage Road
Suite 200
White House, TN 37188
Phone
(615) 672-7122
NPI assigned
Mar 8, 2024
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danielle Smiley
Title
RCM
Phone
(828) 735-2822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

291 Sage Road
Suite 200
White House, TN 37188

Mailing address

291 Sage Road
Suite 200
White House, TN 37188

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Medical Group PLLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1073371613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 SAGE ROAD",
            "address_2": "SUITE 200",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "37188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 SAGE ROAD",
            "address_2": "SUITE 200",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "37188",
            "telephone_number": "615-672-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "828-735-2822"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White House, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.