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CROSSROADS MEDICAL GROUP, PLLC
NPI 1073539607
Clinic/Center in White House, TN

Active since July 15, 2006
491 SAGE RD., SUITE 200, WHITE HOUSE, TN 37188(615) 672-7122(615) 672-8122 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: August 23, 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 1073539607), doing business as Crossroads Medical Group, is a healthcare organization registered as a clinic/center in White House, Tennessee and active in the NPI registry since July 2006. The organization lists Robert E. Ferguson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073539607
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCROSSROADS MEDICAL GROUP, PLLC
Location Address491 SAGE RD., SUITE 200White House, TN 37188-8193
Mailing AddressPo Box 1669White House, TN 37188-1669 · (615) 672-5177 · Fax (615) 672-5366
Phone(615) 672-7122
Fax(615) 672-8122
Organization SubpartNo
Authorized OfficialRobert E. FergusonExecutive Director · (615) 672-7122
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 30, 2008
✔ NPI 1073539607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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).
491 SAGE RD., White House, TN 37188
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Other Names 1

Former Legal Business NameCrossroads Medical Group

Other Identifiers 1

Medicare ID-Type Unspecified3725461TN · Medicare Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 Medical Group, PLLC's NPI number?

The NPI number for Crossroads Medical Group, PLLC is 1073539607. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider was formerly known as Crossroads Medical Group.

Where is Crossroads Medical Group, PLLC located?

Crossroads Medical Group, PLLC is located at 491 Sage Rd. Suite 200, White House, TN 37188. The listed phone number is (615) 672-7122.

What is Crossroads Medical Group, PLLC's specialty?

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

What insurance does Crossroads Medical Group, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Crossroads Medical Group, PLLC 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 Medical Group, PLLC was last updated on January 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.