CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
NPI 1346850708
Clinic/Center - Rehabilitation, Substance Use Disorder in Jacksboro, TN

Active since July 31, 2020
114 PERKINS LN, JACKSBORO, TN 37757(864) 436-7266 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2021, Aug 11, 2020, Jul 31, 2020 (3 updates tracked since 2020).

About Crossroads Treatment Centers Of Tennessee, Pc NPPES

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

CROSSROADS TREATMENT CENTERS OF TENNESSEE, PC (NPI 1346850708) is a healthcare organization registered as a rehabilitation, substance use disorder in Jacksboro, Tennessee and active in the NPI registry since July 2020. The organization lists Rupert James Mccormac, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1346850708
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCROSSROADS TREATMENT CENTERS OF TENNESSEE, PC
Location Address114 PERKINS LNJacksboro, TN 37757-2833
Mailing Address55 Beattie Pl Ste 810Greenville, SC 29601-2191 · (864) 436-7266
Organization SubpartNo
Authorized OfficialRupert James MccormacPresident/ceo · (800) 805-6989
Enumeration DateJuly 31, 2020
Last NPPES UpdateJuly 1, 20213 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
NPI 1346850708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
114 PERKINS LN, Jacksboro, TN 37757

Accepted Insurance

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 44D2189623

Crossroads Treatment Centers Of Tennessee, PC (jacksboro) · Jacksboro, TN
Expired · Aug 3, 2026
CLIA Number44D2189623
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorDr. James Stephen
Laboratory Phone(864) 964-7500
Laboratory LocationCrossroads Treatment Centers Of Tennessee, PC (jacksboro)114 Perkins Lane, Jacksboro, TN 37757
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
114 PERKINS LN
JACKSBORO, TN 37757
Social Worker
114 PERKINS LN
JACKSBORO, TN 37757

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 Treatment Centers Of Tennessee, PC's NPI number?

The NPI number for Crossroads Treatment Centers Of Tennessee, PC is 1346850708. It was assigned to this organization in the NPPES registry on July 31, 2020.

Where is Crossroads Treatment Centers Of Tennessee, PC located?

Crossroads Treatment Centers Of Tennessee, PC is located at 114 Perkins Ln, Jacksboro, TN 37757. The listed phone number is (864) 436-7266.

What is Crossroads Treatment Centers Of Tennessee, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

What insurance does Crossroads Treatment Centers Of Tennessee, PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Crossroads Treatment Centers Of Tennessee, PC 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 Treatment Centers Of Tennessee, PC was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.