CROSSOVER HEALTH MEDICAL GROUP
NPI 1194564799
Specialist in Lawrenceville, GA
About Crossover Health Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROSSOVER HEALTH MEDICAL GROUP (NPI 1194564799) is a healthcare organization registered as a specialist in Lawrenceville, Georgia and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Jenette Hunter, Licensing Manager, 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 11D2307346
Crossover Health Medical Group, Apc · Lawrenceville, GAOther 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 Crossover Health Medical Group's NPI number?
The NPI number for Crossover Health Medical Group is 1194564799. It was assigned to this organization in the NPPES registry on May 22, 2024.
Where is Crossover Health Medical Group located?
Crossover Health Medical Group is located at 750 S Perry St Fl 2, Lawrenceville, GA 30046. The listed phone number is (971) 500-2661.
What is Crossover Health Medical Group's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Does Crossover Health Medical Group hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2307346) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Crossover Health Medical Group was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Crossover Health Medical Group · NPI 1194564799
Specialist organization in Lawrenceville, Georgia. Organization record, active in the CMS NPPES registry since May 22, 2024.
## Identity
- **NPI:** 1194564799 (Entity type: Organization)
- **Enumerated:** May 22, 2024
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Jenette Hunter, LICENSING MANAGER
## Practice location
- **Address:** 750 S PERRY ST FL 2, Lawrenceville, GA 30046-3233
- **Phone:** (971) 500-2661
## Record status
- **NPPES last updated:** May 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194564799) · Data from the CMS NPPES public registry.