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CROSSROADS HEALTHCARE LLC
NPI 1194690628
Nurse Practitioner - Family in Holly Springs, MS

Active since October 06, 2025CLIA 25D2339526 · Waiver
153 ISOM CHAPEL RD, HOLLY SPRINGS, MS 38635(662) 252-9417 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2025, Oct 6, 2025 (2 updates tracked since 2025).

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

NPI1194690628
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCROSSROADS HEALTHCARE LLC
Location Address153 ISOM CHAPEL RDHolly Springs, MS 38635-9207
Mailing Address153 Isom Chapel RdHolly Springs, MS 38635-9207 · (662) 252-9417
Phone(662) 252-9417
Organization SubpartNo
Authorized OfficialGinny Leigh MartinOwner · (662) 252-9417
Enumeration DateOctober 6, 2025
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1194690628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
153 ISOM CHAPEL RD, Holly Springs, MS 38635
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, MS
Active · expires Mar 2, 2028
CLIA Number25D2339526
Laboratory TypePractitioner Other
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorGinny L. Martin
Laboratory Phone(662) 252-9417
Laboratory LocationCrossroads Healthcare, LLC4155 Hwy 178 West, Red Banks, MS 38661
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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.

When was this NPI record last updated?

The NPPES record for Crossroads Healthcare LLC was last updated on November 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.