CROSSROADS TREATMENT CENTER OF DAWSONVILLE
NPI 1013434976
Clinic/Center - Methadone in Dawsonville, GA

Active since August 23, 2017CLIA Certified · 37 labs
400 DAWSON COMMONS CIR STE 410, DAWSONVILLE, GA 30534(800) 805-6989(864) 558-8511 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2022, Dec 28, 2021, Aug 23, 2017 (3 updates tracked since 2017).

About Crossroads Treatment Center Of Dawsonville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS TREATMENT CENTER OF DAWSONVILLE (NPI 1013434976) is a healthcare organization registered as a methadone in Dawsonville, Georgia and active in the NPI registry since August 2017. The organization holds 37 active CLIA laboratory certificates and lists Rupert Mccormac, President, as its authorized official.

NPPES Registry Identity

NPI1013434976
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameCROSSROADS TREATMENT CENTER OF DAWSONVILLE, PC
Location Address400 DAWSON COMMONS CIR STE 410Dawsonville, GA 30534-6269
Mailing Address200 E Broad St Ste 300Greenville, SC 29601-2891 · (800) 805-6989 · Fax (864) 558-8511
Fax(864) 558-8511
Organization SubpartNo
Authorized OfficialRupert MccormacPresident · (800) 805-6989
Enumeration DateAugust 23, 2017
Last NPPES UpdateJune 8, 20223 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
NPI 1013434976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
400 DAWSON COMMONS CIR STE 410, Dawsonville, GA 30534

Other Names 1

Doing Business AsCrossroads Treatment Center Of Dawsonville

Other Identifiers 1

OtherNTP001092GA · State License

CLIA Laboratory Certificates CMS CLIA 37

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2188530

Crossroads Treatment Centers Gbg · Greensburg, PA
Active · expires Jul 17, 2028
CLIA Number39D2188530
Laboratory TypeOpioid Treatement Ctr
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorDr. Steven W. Selip
Laboratory Phone(800) 805-6989
Laboratory LocationCrossroads Treatment Centers Gbg125 East Otterman Street, Greensburg, PA 15601
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2188531

Crossroads Treatment Centers Gcy · Grove City, PA
Active · expires Jul 17, 2028
CLIA Number39D2188531
Laboratory TypeOpioid Treatment Ctr
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorAshley L. Adams
Laboratory Phone(800) 805-6989
Laboratory LocationCrossroads Treatment Centers Gcy201C Erie Place, Grove City, PA 16127
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2188532

Crossroads Treatment Centers Hrb · Harrisburg, PA
Active · expires Jul 17, 2028
CLIA Number39D2188532
Laboratory TypeOpiod Treatment Ctr
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorDr. Sharon L. Holbrook
Laboratory Phone(800) 805-6989
Laboratory LocationCrossroads Treatment Centers Hrb2740 Penbrook Avenue, Harrisburg, PA 17103
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2188533

Crossroads Treatment Centers Ind · Indiana, PA
Active · expires Jul 17, 2028
CLIA Number39D2188533
Laboratory TypeOpioid Treatment Centers
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorDr. Keivan Ettefagh
Laboratory Phone(800) 805-6989
Laboratory LocationCrossroads Treatment Centers Ind655 Church Street, Indiana, PA 15701
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2188534

Crossroads Treatment Centers Jtn · Johnstown, PA
Active · expires Jul 17, 2028
CLIA Number39D2188534
Laboratory TypeOpioid Treatment Ctr
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorDr. Steven W. Selip
Laboratory Phone(800) 805-6989
Laboratory LocationCrossroads Treatment Centers Jtn132 Walnut Street, 2nd Fl, Johnstown, PA 15901
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2188535

Crossroads Treatment Centers Ken · Philadelphia, PA
Active · expires Jul 17, 2028
CLIA Number39D2188535
Laboratory TypeOpioid Treatment Ctr
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorJonathan F. Paolini
Laboratory Phone(800) 805-6989
Laboratory LocationCrossroads Treatment Centers Ken2317 East Westmoreland Street, Philadelphia, PA 19134
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
400 DAWSON COMMONS CIR STE 410
DAWSONVILLE, GA 30534
Nurse Practitioner (Family)
400 DAWSON COMMONS CIR STE 410
DAWSONVILLE, GA 30534
Licensed Practical Nurse
400 DAWSON COMMONS CIR STE 410
DAWSONVILLE, GA 30534
Psychologist
400 DAWSON COMMONS CIR STE 410
DAWSONVILLE, GA 30534
Licensed Practical Nurse
400 DAWSON COMMONS CIR STE 410
DAWSONVILLE, GA 30534
Orthopaedic Surgery
400 DAWSON COMMONS CIR STE 410
DAWSONVILLE, GA 30534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroads Treatment Center Of Dawsonville, PC's NPI number?

The NPI number for Crossroads Treatment Center Of Dawsonville, PC is 1013434976. It was assigned to this organization in the NPPES registry on August 23, 2017. The provider is doing business as Crossroads Treatment Center Of Dawsonville.

Where is Crossroads Treatment Center Of Dawsonville, PC located?

Crossroads Treatment Center Of Dawsonville, PC is located at 400 Dawson Commons Cir Ste 410, Dawsonville, GA 30534. The listed phone number is (800) 805-6989.

What is Crossroads Treatment Center Of Dawsonville, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Crossroads Treatment Center Of Dawsonville, PC hold CLIA laboratory certificates?

Yes. 37 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Crossroads Treatment Center Of Dawsonville, PC was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.