CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
NPI 1013672161
Clinic/Center in Memphis, TN

Active since November 03, 2021CLIA Certified · 2 labs
2400 POPLAR AVE, MEMPHIS, TN 38112(800) 805-6989 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crossroads Treatment Centers Of Tennessee, P.c. NPPES

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

CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C. (NPI 1013672161), doing business as Crossroads Treatment Center Memphis-poplar Ave., is a healthcare organization registered as a clinic/center in Memphis, Tennessee and active in the NPI registry since November 2021. The organization holds 2 active CLIA laboratory certificates and lists Rupert James Mccormac, President, as its authorized official.

NPPES Registry Identity

NPI1013672161
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
Location Address2400 POPLAR AVEMemphis, TN 38112-3213
Mailing Address200 E Broad St Ste 300Greenville, SC 29601-2891
Organization SubpartNo
Authorized OfficialRupert James MccormacPresident · (864) 527-3145
Enumeration DateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
NPI 1013672161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
2400 POPLAR AVE, Memphis, TN 38112

Other Names 1

Doing Business AsCrossroads Treatment Center Memphis-poplar Ave.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 11D2102724

Crossroads Treatment Center Of Calhoun, PC · Calhoun, GA
Active · expires Sep 27, 2027
CLIA Number11D2102724
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorDr. James Stephen
Laboratory Phone(864) 527-3145
Laboratory LocationCrossroads Treatment Center Of Calhoun, PC367 Richardson Rd, SE, Calhoun, GA 30701
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2118932

Crossroads Treatment Center Of Petersburg, PC · Petersburg, VA
Active · expires Sep 15, 2026
CLIA Number49D2118932
Laboratory TypeNarcotic Treatment Center
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorJames Stephen
Laboratory Phone(864) 527-3145
Laboratory LocationCrossroads Treatment Center Of Petersburg, PC10543 South Crater Road, Petersburg, VA 23805
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 13

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

Counselor (Mental Health)
2400 POPLAR AVE, 350
MEMPHIS, TN 38112
Nurse Practitioner
2400 POPLAR AVE, SUITE 501
MEMPHIS, TN 38112
Obstetrics & Gynecology
2400 POPLAR AVE, SUITE 501
MEMPHIS, TN 38112
Social Worker (Clinical)
2400 POPLAR AVE, STE 211
MEMPHIS, TN 38112
Counselor (Addiction (Substance Use Disorder))
2400 POPLAR AVE
MEMPHIS, TN 38112
Obstetrics & Gynecology
2400 POPLAR AVE, SUITE 501
MEMPHIS, TN 38112
Counselor (Professional)
2400 POPLAR AVE
MEMPHIS, TN 38112
Social Worker
2400 POPLAR AVE, SUITE 318
MEMPHIS, TN 38112

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 Centers Of Tennessee, P.C.'s NPI number?

The NPI number for Crossroads Treatment Centers Of Tennessee, P.C. is 1013672161. It was assigned to this organization in the NPPES registry on November 3, 2021. The provider is doing business as Crossroads Treatment Center Memphis-Poplar Ave..

Where is Crossroads Treatment Centers Of Tennessee, P.C. located?

Crossroads Treatment Centers Of Tennessee, P.C. is located at 2400 Poplar Ave, Memphis, TN 38112. The listed phone number is (800) 805-6989.

What is Crossroads Treatment Centers Of Tennessee, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Crossroads Treatment Centers Of Tennessee, P.C. hold CLIA laboratory certificates?

Yes. 2 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 Centers Of Tennessee, P.C. was last updated on November 3, 2021. 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.