Active NPI
Crossroads Treatment Center of Sandy Springs, PC
- Methadone Clinic
- Atlanta, GA
National Provider Identifier
1528585486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- CROSSROADS TREATMENT CENTER OF SANDY SPRINGS, PC
- Practice address
- 275 Carpenter Dr Ste 101
Atlanta, GA 30328-4909 - Phone
- (470) 312-2933
- Fax
- (470) 819-4175
- NPI assigned
- Aug 23, 2017
- 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
- Dr. Rupert McCormac, MD
- Title
- President
- Phone
- (864) 527-3145
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
275 Carpenter Dr Ste 101
Atlanta, GA 30328-4909
Mailing address
55 Beattie PL Ste 810
Greenville, SC 29601-2191
Phone (864) 527-3145
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Woodstock, GA
- NPI 1174011449
-
- Addiction (Substance Use Disorder) Counselor
- Atlanta, GA
- NPI 1669960928
-
- Registered Nurse
- Atlanta, GA
- NPI 1861980120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503446400000",
"number": "1528585486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BEATTIE PL STE 810",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012191",
"telephone_number": "864-527-3145",
"fax_number": "864-990-0653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 CARPENTER DR STE 101",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284909",
"telephone_number": "470-312-2933",
"fax_number": "470-819-4175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS TREATMENT CENTER OF SANDY SPRINGS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-23",
"last_updated": "2017-08-23",
"status": "A",
"authorized_official_last_name": "MCCORMAC",
"authorized_official_first_name": "RUPERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-527-3145",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.