CROSSROADS FAMILY CLINIC
NPI 1063089985
Nurse Practitioner - Family in Rogersville, AL
About Crossroads Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROSSROADS FAMILY CLINIC (NPI 1063089985) is a healthcare organization registered as a family in Rogersville, Alabama and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Heather Tennell Garrett, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
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 01D2229082
Crossroads Family Clinic · Rogersville, ALOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Family Clinic's NPI number?
The NPI number for Crossroads Family Clinic is 1063089985. It was assigned to this organization in the NPPES registry on June 9, 2021.
Where is Crossroads Family Clinic located?
Crossroads Family Clinic is located at 75 County Road 576, Rogersville, AL 35652. The listed phone number is (256) 443-3171.
What is Crossroads Family Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Crossroads Family Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2229082) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Crossroads Family Clinic was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Crossroads Family Clinic · NPI 1063089985
Family organization in Rogersville, Alabama. Organization record, active in the CMS NPPES registry since June 9, 2021.
## Identity
- **NPI:** 1063089985 (Entity type: Organization)
- **Enumerated:** June 9, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Heather Garrett, OWNER/PROVIDER
## Practice location
- **Address:** 75 COUNTY ROAD 576, Rogersville, AL 35652
- **Phone:** (256) 443-3171
## Record status
- **NPPES last updated:** June 9, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1063089985) · Data from the CMS NPPES public registry.