Active NPI
Crossover Health Medical Group
- Specialist
- Charlotte, NC
National Provider Identifier
1346036571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CROSSOVER HEALTH MEDICAL GROUP
- Practice address
- 1515 S Tryon St FL 9
Charlotte, NC 28203-6816 - Phone
- (866) 271-3589
- NPI assigned
- Apr 15, 2025
- Last updated
- Apr 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jenette Hunter, CPCS
- Title
- Sr. Manager Licensing, Credentialin
- Phone
- (971) 500-2661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1515 S Tryon St FL 9
Charlotte, NC 28203-6816
Mailing address
1515 S Tryon St FL 9
Charlotte, NC 28203-6816
Phone (866) 271-3589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193200000X | Other | NON MEDICARE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2324087 | Crossover Health Medical Group, Apc | Certificate of waiver | May 18, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Crossover Medical Group
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.
-
- Specialist
- Durham, NC
- NPI 1902668858
Locations
1515 S Tryon St
Fl 9
Charlotte, NC 28203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744675200000",
"number": "1346036571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 S TRYON ST FL 9",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282036816",
"telephone_number": "866-271-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S TRYON ST FL 9",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282036816",
"telephone_number": "866-271-3589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "JENETTE",
"authorized_official_title_or_position": "SR. MANAGER LICENSING, CREDENTIALIN",
"authorized_official_telephone_number": "971-500-2661",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPCS"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON MEDICARE",
"identifier": "193200000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Hazel Elizabeth Cross, CRNA
- Kiara Cross
- Mary Knox Cross, MD
- Mattie Cross, MS, CCC-SLP
- Crossover
- Crossroads Counseling and Coaching, PLLC
- Crossroads Therapy LLC
- Crossroads Treatment Centers of North Carolina, P.C. (Crossroads Treatment Centers Charlotte)
- Cassandra B Crosston, OTR/L
- Crossway Counseling Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.