1. Home
  2. Directory
  3. Tennessee
  4. Ooltewah
  5. Nurse Practitioner
  6. NPI Profile

CROSSROADS CLINIC PLLC
NPI 1043662687
Nurse Practitioner - Primary Care in Ooltewah, TN

Active since July 07, 2016
1667 OOLTEWAH RINGGOLD RD, SUITE 111, OOLTEWAH, TN 37363(423) 825-4881(423) 825-4882 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crossroads Clinic Pllc NPPES

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

CROSSROADS CLINIC PLLC (NPI 1043662687) is a healthcare organization registered as a primary care in Ooltewah, Tennessee and active in the NPI registry since July 2016. The organization lists Susan Vergot, Owner, as its authorized official.

NPPES Registry Identity

NPI1043662687
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCROSSROADS CLINIC PLLC
Location Address1667 OOLTEWAH RINGGOLD RD, SUITE 111Ooltewah, TN 37363-9830
Mailing Address1667 Ooltewah Ringgold Rd, Suite 111Ooltewah, TN 37363-9830 · (423) 825-4881 · Fax (423) 825-4882
Phone(423) 825-4881
Fax(423) 825-4882
Organization SubpartNo
Authorized OfficialSusan VergotOwner · (423) 902-0681
Enumeration DateJuly 7, 2016
✔ NPI 1043662687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1667 OOLTEWAH RINGGOLD RD, Ooltewah, TN 37363
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

K-VA-T FOOD STORES INC
Pharmacy (Community/Retail Pharmacy)
1667 OOLTEWAH RINGGOLD RD
OOLTEWAH, TN 37363
Hamilton County (423) 893-1917
MAIN STREET MEDICAL, PLLC
Specialist
1667 OOLTEWAH RINGGOLD RD
OOLTEWAH, TN 37363
Hamilton County (423) 886-7545
MICHAEL D BOOTH RPH
Pharmacist
1667 OOLTEWAH RINGGOLD RD
OOLTEWAH, TN 37363
Hamilton County (423) 893-6275
DR. DANIEL JAMES PLATT PHARM. D.
Pharmacist
1667 OOLTEWAH RINGGOLD RD
OOLTEWAH, TN 37363
Hamilton County (423) 893-6275

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 Clinic PLLC's NPI number?

The NPI number for Crossroads Clinic PLLC is 1043662687. It was assigned to this organization in the NPPES registry on July 7, 2016.

Where is Crossroads Clinic PLLC located?

Crossroads Clinic PLLC is located at 1667 Ooltewah Ringgold Rd Suite 111, Ooltewah, TN 37363. The listed phone number is (423) 825-4881.

What is Crossroads Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Crossroads Clinic PLLC was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.