CROSSROADS SURGERY CENTER, LLC
NPI 1174679054
Clinic/Center - Ambulatory Surgical in Brentwood, TN

Q: What is Crossroads Surgery Center, LLC's NPI number?

The NPI number for Crossroads Surgery Center, LLC is 1174679054. It was assigned to this organization in the NPPES registry on January 25, 2007.

Q: What is Crossroads Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since January 25, 2007CLIA 44D1065557 · Waiver

1805 WILLIAMSON CT, SUITE 200, BRENTWOOD, TN 37027(615) 613-0259(615) 548-2952 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2023, Aug 22, 2020 (2 updates tracked since 2020).

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About Crossroads Surgery Center, Llc NPPES

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

CROSSROADS SURGERY CENTER, LLC (NPI 1174679054) is a healthcare organization registered as an ambulatory surgical in Brentwood, Tennessee and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Rodney H Lunn, Owner, as its authorized official.

NPPES Registry Identity

NPI1174679054

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameCROSSROADS SURGERY CENTER, LLC

Location Address1805 WILLIAMSON CT, SUITE 200Brentwood, TN 37027-7974

Mailing Address1805 Williamson Ct, Suite 200Brentwood, TN 37027-7974 · (615) 331-5536 · Fax (615) 331-3740

Phone(615) 613-0259

Fax(615) 548-2952

Organization SubpartNo

Authorized OfficialRodney H LunnOwner · (615) 602-9300

Enumeration DateJanuary 25, 2007

Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1174679054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1805 WILLIAMSON CT, Brentwood, TN 37027

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.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 Surgery Center, Llc 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 Surgery Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Nwofia, M.D.

Physical Medicine and Rehabilitation

NPI 1588777445

1805 WILLIAMSON CT
Brentwood, TN 37027

(615) 331-5536

✔ 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 44D1065557

Crossroads Surgery Center LLC · Brentwood, TN

Active · expires Mar 4, 2027

CLIA Number44D1065557

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 5, 2025

Certificate Expiration DateMarch 4, 2027

Laboratory DirectorJohn C. Nwofia

Laboratory Phone(615) 331-5536

Laboratory LocationCrossroads Surgery Center LLC1805 Williamson Court Suite #200, Brentwood, TN 37027

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

121 services50 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

104 services35 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

98 services47 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

88 services43 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

61 services28 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

54 services25 patients

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 Surgery Center, LLC's NPI number?

The NPI number for Crossroads Surgery Center, LLC is 1174679054. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Crossroads Surgery Center, LLC located?

Crossroads Surgery Center, LLC is located at 1805 Williamson Ct Suite 200, Brentwood, TN 37027. The listed phone number is (615) 613-0259.

What is Crossroads Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Crossroads Surgery Center, LLC enrolled in Medicare?

Yes. Crossroads Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crossroads Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Crossroads Surgery Center, LLC. 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.

Does Crossroads Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1065557) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crossroads Surgery Center, LLC accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Crossroads Surgery Center, LLC 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 Surgery Center, LLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.