Crossroads Community Source

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CROSSROADS COMMUNITY SOURCE

Practice address

1203 Ball St
Perry, GA 31069-2501

Phone

(478) 988-1294

Fax

(478) 988-1193

NPI assigned

Feb 17, 2010

Last updated

Feb 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William C. Davis Jr.

Title

Ceo

Phone

(478) 988-1294

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1083936157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 BALL ST",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692501",
            "telephone_number": "478-988-1294",
            "fax_number": "478-988-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 BALL ST",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692501",
            "telephone_number": "478-988-1294",
            "fax_number": "478-988-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COMMUNITY SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-988-1294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commerce Anesthesiology LLC
• Cornerstone Healthcare Inc. (Perry Spine and Wellness)
• Cornerstone Medical Assoc., LLC
• Cornerstone Medical Management LLC
• Shannon Coulter
• Crossroads Family Eye Care LLC
• Laura Peyton Cunningham-Ward, LMT, MMP
• David Michael Cunningham, RPH
• Glenda H. Davis, M.D.
• Lauren Dean, CCC-SLP

• Case Management Agency in Perry, GA
• Providers in Perry, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.