Crossroads Urgent Care, PLLC
Organization Active NPI Family Medicine Physician · Clarksville, TN
NPI 1164317640 · NPPES record last updated Jun 12, 2025
Key facts
- NPI
- 1164317640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CROSSROADS URGENT CARE, PLLC
- Practice address
- 2147 Wilma Rudolph Blvd Ste 102
Clarksville, TN 37040-6798 - Phone
- (931) 241-4115
- Fax
- (931) 241-4069
- NPI assigned
- Jun 12, 2025
- Organization subpart
- No
Authorized official
- Name
- Stephanie Hicks
- Title
- Controller
- Phone
- (615) 988-2004
Corporate family (same tax ID) 39
National Provider Directory
- Tax ID family
- Crossroads Urgent Care PLLC
Locations
2147 Wilma Rudolph Blvd
Ste 102
Clarksville, TN 37040
Phone (931) 241-4115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
2147 Wilma Rudolph Blvd Ste 102
Clarksville, TN 37040-6798
Mailing address
30 Burton Hills Blvd Ste 175
Nashville, TN 37215-6403
Phone (615) 864-8709
Other names
- AST - UC - St. Beth
Other providers in Clarksville, TN
- Crossroads Counseling Services
- Crossroads Urgent Care PLLC
- Crossroads Urgent Care PLLC
- Crossroads Urgent Care PLLC
- Crossroads Urgent Care, PLLC
- Kathy J Crouch
- Robert J Crouch III
- Ryan D Crouch
- Paul Clinton Crow
- Hayley Broadway Crozier
All providers in Clarksville, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.