Crossover Health Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CROSSOVER HEALTH MEDICAL GROUP

Practice address

750 S Perry St FL 2
Lawrenceville, GA 30046-3233

Phone

(971) 500-2661

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Jenette Hunter

Title

Licensing Manager

Phone

(971) 500-2661

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Crossover Medical Group89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Crossover Health Medical Group

  • Specialist
  • Alpharetta, GA
  • NPI 1548948425
  NPD tax ID

Locations

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1194564799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S PERRY ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S PERRY ST FL 2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463233",
            "telephone_number": "971-500-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JENETTE",
        "authorized_official_title_or_position": "LICENSING MANAGER",
        "authorized_official_telephone_number": "971-500-2661"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Crocker, MCD CCC SLP
• Ashley Parker Croker, PA-C
• Kaley Cronheim
• Christopher Scott Crooker, M.D.
• Lori Crosmer, MSW
• Judith Crouch, RN
• Sudabeh Crouch, NBHWC
• Cassidy Crowder, LPC, NCC
• Amanda J Crowe, RPH
• Rebecca Crowe

• All providers in Lawrenceville, GA
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.