Cross Creek Medical Clinic, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9600078 Issued in NC

Legal business name

CROSS CREEK MEDICAL CLINIC, PA

Practice address

1309 Medical Dr
Suite 1
Fayetteville, NC 28304-4425

Phone

(910) 437-5130

Fax

(910) 437-5130

NPI assigned

May 17, 2006

Last updated

Dec 13, 2007By 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

Dr. Nitin Dahyabhai Desai, MD

Title

President

Phone

(910) 437-5130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: nitin-desai@crosscreekmedical.e-mdsdirect.com
• Direct secure messaging: shelia-black@crosscreekmedical.e-mdsdirect.com

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nitinchandra Dahyabhai Desai, MD

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1245202696
  Medicare reassignment NPD
• Casi P Gilmer, FNP

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1023293818
  NPD (past)
• Irene Powell Strickland, FNP

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1457397481
  NPD (past)
• Herat Vidyut Desai, PT

  • Physical Therapist
  • Clarksville, TN
  • NPI 1801956511
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1174575179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 MEDICAL DR",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044425",
            "telephone_number": "910-437-5130",
            "fax_number": "910-437-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 MEDICAL DR",
            "address_2": "SUITE 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044425",
            "telephone_number": "910-437-5130",
            "fax_number": "910-437-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CREEK MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "NITIN",
        "authorized_official_middle_name": "DAHYABHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-437-5130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9600078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Katherine Crosby, DPT
• Cross & Crown Regenerative Care PLLC
• Cross Creek Chiropractic Clinic PA
• Cross Creek Imaging LLC
• Cross Creek Manor Assisted Living LLC
• Cross Creek Neurology PLLC
• Cross Creek Pediatrics
• Cross Creek Urgent Care and Family Clinic
• Elouise Cross
• Emily Cross, M.ED CCC-SLP

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.