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CROSSROADS MEDICAL GROUP, PLLC
NPI 1073371613
Clinic/Center - Rural Health in White House, TN

Active since March 08, 2024CLIA Certified · 2 labs
291 SAGE ROAD, SUITE 200, WHITE HOUSE, TN 37188(615) 672-7122 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crossroads Medical Group, Pllc NPPES

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

CROSSROADS MEDICAL GROUP, PLLC (NPI 1073371613) is a healthcare organization registered as a rural health in White House, Tennessee and active in the NPI registry since March 2024. The organization holds 2 active CLIA laboratory certificates and lists Danielle Smiley, Rcm, as its authorized official.

NPPES Registry Identity

NPI1073371613
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCROSSROADS MEDICAL GROUP, PLLC
Location Address291 SAGE ROAD, SUITE 200White House, TN 37188
Mailing Address291 Sage Road, Suite 200White House, TN 37188
Phone(615) 672-7122
Organization SubpartNo
Authorized OfficialDanielle SmileyRcm · (828) 735-2822
Enumeration DateMarch 8, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1073371613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
291 SAGE ROAD, White House, TN 37188
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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 44D1084004

Crossroads Medical Group, PLLC · White House, TN
Active · expires May 13, 2028
CLIA Number44D1084004
Laboratory TypeAmbulance
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorHal Jenkins
Laboratory Phone(615) 672-7122
Laboratory LocationCrossroads Medical Group, PLLC491 Sage Rd, Suite 800, White House, TN 37188
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2170502

Crossroads Medical Group PLLC · Greenbrier, TN
Active · expires Aug 12, 2027
CLIA Number44D2170502
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorDr. Jeffrey Scott Jordan
Laboratory Phone(615) 672-7122
Laboratory LocationCrossroads Medical Group PLLC2239 Highway 41 South Ste B, Greenbrier, TN 37073
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is CROSSROADS MEDICAL GROUP, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1073371613, enumerated as an "organization" on March 08, 2024.

Where is the provider located?

The provider is located at 291 SAGE ROAD SUITE 200 WHITE HOUSE, TN 37188 and the phone number is (615) 672-7122.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.