CROSSROADS FAMILY MEDICAL CARE P.A.
NPI 1063692515
Family Medicine in Newton, NC

Active since November 13, 2007
3121 PLATEAU RD, NEWTON, NC 28658(704) 276-9200(704) 276-9300 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Crossroads Family Medical Care P.a. NPPES

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

CROSSROADS FAMILY MEDICAL CARE P.A. (NPI 1063692515) is a healthcare organization registered as a family medicine in Newton, North Carolina and active in the NPI registry since November 2007. The organization lists Bill Jack Parker, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1063692515
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROSSROADS FAMILY MEDICAL CARE P.A.
Location Address3121 PLATEAU RDNewton, NC 28658-8900
Mailing Address3121 Plateau RdNewton, NC 28658-8900 · (704) 276-9200 · Fax (704) 276-9300
Fax(704) 276-9300
Organization SubpartNo
Authorized OfficialBill Jack ParkerOwner/president · (704) 276-9200
Enumeration DateNovember 13, 2007
Last NPPES UpdateNovember 10, 2009
✔ NPI 1063692515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 38402
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3121 PLATEAU RD, Newton, NC 28658

Other Identifiers 3

Medicare UPINC68854NC
Medicare UPINC68854
Medicaid7965234NC

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crossroads Family Medical Care P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crossroads Family Medical Care P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1407854441
3121 PLATEAU RD
Newton, NC 28658
(704) 276-9200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 34D0997505

Crossroads Family Medical Care PLLC · Newton, NC
Expired · Nov 3, 2026
CLIA Number34D0997505
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorBill J. Parker
Laboratory Phone(704) 276-9200
Laboratory LocationCrossroads Family Medical Care PLLC3121 Plateau Rd, Newton, NC 28658
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Care P.A.'s NPI number?

The NPI number for Crossroads Family Medical Care P.A. is 1063692515. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Crossroads Family Medical Care P.A. located?

Crossroads Family Medical Care P.A. is located at 3121 Plateau Rd, Newton, NC 28658. The listed phone number is (704) 276-9200.

What is Crossroads Family Medical Care P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Crossroads Family Medical Care P.A. enrolled in Medicare?

Yes. Crossroads Family Medical Care P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crossroads Family Medical Care P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Crossroads Family Medical Care P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Crossroads Family Medical Care P.A. accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Crossroads Family Medical Care P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crossroads Family Medical Care P.A. was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.