CROSSROADS HEALTHCARE LLC
NPI 1194690628
Nurse Practitioner - Family in Holly Springs, MS
About Crossroads Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROSSROADS HEALTHCARE LLC (NPI 1194690628) is a healthcare organization registered as a family in Holly Springs, Mississippi and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Ginny Leigh Martin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Healthcare 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 Healthcare LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 25D2339526
Crossroads Healthcare, LLC · Red Banks, MSFrequently 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 Healthcare LLC's NPI number?
The NPI number for Crossroads Healthcare LLC is 1194690628. It was assigned to this organization in the NPPES registry on October 6, 2025.
Where is Crossroads Healthcare LLC located?
Crossroads Healthcare LLC is located at 153 Isom Chapel Rd, Holly Springs, MS 38635. The listed phone number is (662) 252-9417.
What is Crossroads Healthcare LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crossroads Healthcare LLC enrolled in Medicare?
Yes. Crossroads Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crossroads Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Crossroads Healthcare 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 Healthcare LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2339526) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Crossroads Healthcare LLC accept?
Health plans from Molina Healthcare list Crossroads Healthcare 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 Healthcare LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Crossroads Healthcare Llc · NPI 1194690628
Family organization in Holly Springs, Mississippi. Organization record, active in the CMS NPPES registry since October 6, 2025.
## Identity
- **NPI:** 1194690628 (Entity type: Organization)
- **Enumerated:** October 6, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Ginny Martin, OWNER
## Practice location
- **Address:** 153 ISOM CHAPEL RD, Holly Springs, MS 38635-9207
- **Phone:** (662) 252-9417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194690628) · Data from the CMS NPPES public registry.