CROSSROADS TREATMENT CENTER OF GREENVILLE, PC
NPI 1538601414
Clinic/Center - Rehabilitation, Substance Use Disorder in Greenville, SC

NPI Status: Active since November 09, 2016

Contact Information

157 BROZZINI CT
SUITE A
GREENVILLE, SC
ZIP 29615
Phone: (864) 288-7978

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance
  • CLIA Number: 42D1097894
  • CLIA Cert. Type: Other - METHADONE CLINIC
  • CLIA Exp. Date: 04-06-2027

About CROSSROADS TREATMENT CENTER OF GREENVILLE, PC

This page provides the complete NPI Profile along with additional information for Crossroads Treatment Center Of Greenville, Pc, a provider established in Greenville, South Carolina operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1538601414 assigned on November 2016. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Rupert J Mccormac Iv Md (Chief Executive Officer)

NPI
1538601414
Provider Name
CROSSROADS TREATMENT CENTER OF GREENVILLE, PC
Entity Type
Organization
Location Address
157 BROZZINI CT SUITE A GREENVILLE, SC 29615
Location Phone
(864) 288-7978
Mailing Address
PO BOX 749057 ATLANTA, GA 30374
Mailing Phone
(800) 805-6989
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2016
Last Update Date
09-03-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
3261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
4261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 
5261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue Reedy Bronze 1 - HMO
  • Blue Reedy Bronze 2 - HMO
  • Blue Reedy Gold 1 - HMO
  • Blue Reedy Silver 1 - HMO
  • Blue Reedy Silver 2 - HMO
  • Blue Reedy Silver 2 + Adult Vision - HMO
  • Blue Reedy Standard Expanded Bronze - HMO
  • Blue Reedy Standard Gold - HMO
  • Blue Reedy Standard Silver - HMO
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RUPERT J MCCORMAC IV MD

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(800) 805-6989

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D1097894
Facility Type
Other - METHADONE CLINIC
Certificate Effective Date
April 07, 2025
Certificate Expiration Date
April 06, 2027
Laboratory Director
JAMES STEPHEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crossroads Treatment Center Of Greenville, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538601414, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 1 + 2 + 0 + 2 + 4 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1538601414.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615
Licensed Practical Nurse
157 BROZZINI CT
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615
Nurse Practitioner (Adult Health)
157 BROZZINI CT
GREENVILLE, SC 29615
Community Health Worker
157 BROZZINI CT
GREENVILLE, SC 29615
Licensed Practical Nurse
157 BROZZINI CT
GREENVILLE, SC 29615
Licensed Practical Nurse
157 BROZZINI CT
GREENVILLE, SC 29615
Counselor (Addiction (Substance Use Disorder))
157 BROZZINI CT
GREENVILLE, SC 29615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538601414, enumerated as an "organization" on November 09, 2016.

The provider is located at 157 BROZZINI CT SUITE A GREENVILLE, SC 29615 and the phone number is (864) 288-7978.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.