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CROSSOVER HEALTH MEDICAL GROUP
NPI 1346036571
Specialist in Charlotte, NC

Active since April 15, 2025CLIA 34D2324087 · Waiver
1515 S TRYON ST FL 9, CHARLOTTE, NC 28203(866) 271-3589 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Crossover Health Medical Group NPPES

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

CROSSOVER HEALTH MEDICAL GROUP (NPI 1346036571) is a healthcare organization registered as a specialist in Charlotte, North Carolina and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Jenette Hunter, Sr. Manager Licensing, Credentialin, as its authorized official.

NPPES Registry Identity

NPI1346036571
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address1515 S TRYON ST FL 9Charlotte, NC 28203-6816
Mailing Address1515 S Tryon St Fl 9Charlotte, NC 28203-6816 · (866) 271-3589
Phone(866) 271-3589
Organization SubpartNo
Authorized OfficialJenette HunterSr. Manager Licensing, Credentialin · (971) 500-2661
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1346036571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1515 S TRYON ST FL 9, Charlotte, NC 28203
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Other Identifiers 1

Other193200000XNon Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 34D2324087

Crossover Health Medical Group, Apc · Charlotte, NC
Active · expires May 18, 2027
CLIA Number34D2324087
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorStephen Ezeji-Okoye
Laboratory Phone(704) 981-8850
Laboratory LocationCrossover Health Medical Group, Apc1515 South Tryon Street, Floor 9, Charlotte, NC 28203
CLIA data matches this NPI record on: Address Name
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 Crossover Health Medical Group's NPI number?

The NPI number for Crossover Health Medical Group is 1346036571. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 1515 S Tryon St Fl 9, Charlotte, NC 28203. The listed phone number is (866) 271-3589.

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 34D2324087) is associated with this NPI, valid through May 18, 2027. 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 April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.