CROSSROADS FAMILY CLINIC, LLC
NPI 1538737010
Nurse Practitioner - Family in Rogersville, AL

Active since June 11, 2021
75 COUNTY ROAD 576, ROGERSVILLE, AL 35652(256) 443-3171 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Crossroads Family Clinic, Llc NPPES

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

CROSSROADS FAMILY CLINIC, LLC (NPI 1538737010) is a healthcare organization registered as a family in Rogersville, Alabama and active in the NPI registry since June 2021. The organization lists Heather Tennell Garrett, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1538737010
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCROSSROADS FAMILY CLINIC, LLC
Location Address75 COUNTY ROAD 576Rogersville, AL 35652
Mailing Address75 County Road 576Rogersville, AL 35652 · (256) 443-3171
Organization SubpartNo
Authorized OfficialHeather Tennell GarrettProvider/owner · (256) 443-3171
Enumeration DateJune 11, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1538737010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
75 COUNTY ROAD 576, Rogersville, AL 35652

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

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 Family Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crossroads Family Clinic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1164873717
148 J C MAULDIN HWY
Killen, AL 35645
(256) 757-5353
✔ PECOS✔ Accepts Medicare8.1 mi
Nurse Practitioner
NPI 1316144264
351 HIGHWAY 64
Killen, AL 35645
(256) 272-8066
✔ PECOS✔ Accepts Medicare9.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Family Clinic, LLC's NPI number?

The NPI number for Crossroads Family Clinic, LLC is 1538737010. It was assigned to this organization in the NPPES registry on June 11, 2021.

Where is Crossroads Family Clinic, LLC located?

Crossroads Family Clinic, LLC is located at 75 County Road 576, Rogersville, AL 35652. The listed phone number is (256) 443-3171.

What is Crossroads Family Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Crossroads Family Clinic, LLC enrolled in Medicare?

Yes. Crossroads Family Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crossroads Family Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Crossroads Family Clinic, 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crossroads Family Clinic, LLC was last updated on June 11, 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.