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

NPI Status: Active since August 23, 2017

Contact Information

400 DAWSON COMMONS CIR STE 410
DAWSONVILLE, GA
ZIP 30534
Phone: (800) 805-6989
Fax: (864) 558-8511

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Methadone

About CROSSROADS TREATMENT CENTER OF DAWSONVILLE

This page provides the complete NPI Profile along with additional information for Crossroads Treatment Center Of Dawsonville, a provider established in Dawsonville, Georgia operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1013434976 assigned on August 2017. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Crossroads Treatment Center Of Dawsonville. The authorized official of this NPI record is Dr. Rupert Mccormac Md (President)

NPI: 1013434976
Provider Legal Name: CROSSROADS TREATMENT CENTER OF DAWSONVILLE, PC
Other Organization Name: CROSSROADS TREATMENT CENTER OF DAWSONVILLE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 400 DAWSON COMMONS CIR STE 410 DAWSONVILLE, GA 30534
Location Phone: (800) 805-6989
Location Fax: (864) 558-8511
Mailing Address: 200 E BROAD ST STE 300 GREENVILLE, SC 29601
Mailing Phone: (800) 805-6989
Mailing Fax: (864) 558-8511
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-23-2017
Last Update Date: 06-08-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Methadone
Taxonomy Code: 261QM2800X
Type: Ambulatory Health Care Facilities
Taxonomy Description: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	251S00000X	Agencies	Community/Behavioral Health
2	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center Mental Health (Including Community Mental Health Center)
3	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center Multi-Specialty
4	261QP2300X	Ambulatory Health Care Facilities	Clinic/Center Primary Care
5	261QR0405X	Ambulatory Health Care Facilities	Clinic/Center Rehabilitation, Substance Use Disorder

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. RUPERT MCCORMAC MD
Authorized Official Title: PRESIDENT
Authorized Official Phone: (800) 805-6989

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
NTP001092	OTHER (01)	GA	STATE LICENSE

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	1	3	4	3	4	9	7	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	2	3	8	3	8	9	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 8 + 3 + 8 + 9 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1013434976 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.