CROSSROADS URGENT CARE, PLLC
NPI 1629965579
Family Medicine in Jackson, TN

Active since June 23, 2025CLIA 44D2154722 · Waiver
15 OLD HUMBOLDT RD STE D, JACKSON, TN 38305(731) 256-6456(731) 256-6456 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crossroads Urgent Care, Pllc NPPES

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

CROSSROADS URGENT CARE, PLLC (NPI 1629965579), doing business as Urgent Team, is a healthcare organization registered as a family medicine in Jackson, Tennessee and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Stephanie Hicks, Controller, as its authorized official.

NPPES Registry Identity

NPI1629965579
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROSSROADS URGENT CARE, PLLC
Location Address15 OLD HUMBOLDT RD STE DJackson, TN 38305-3506
Mailing Address30 Burton Hills Blvd Ste 175Nashville, TN 37215-6403 · (615) 988-2000
Fax(731) 256-6456
Organization SubpartNo
Authorized OfficialStephanie HicksController · (615) 988-2004
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
NPI 1629965579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
15 OLD HUMBOLDT RD STE D, Jackson, TN 38305

Other Names 1

Doing Business AsUrgent Team

CLIA Laboratory Certificates CMS CLIA 2

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 44D2154722

Crossroads Urgent Care Dba Urgent Team · Murfreesboro, TN
Active · expires Sep 17, 2026
CLIA Number44D2154722
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorDr. Christopher Ingraham
Laboratory Phone(731) 256-6456
Laboratory LocationCrossroads Urgent Care Dba Urgent Team1144 Fortress Blvd Suite K, Murfreesboro, TN 37128
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2151649

Crossroads Urgent Care Dba Urgent Team · Jackson, TN
Expired · Jul 23, 2026
CLIA Number44D2151649
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorChandrakant Patel
Laboratory Phone(731) 256-6456
Laboratory LocationCrossroads Urgent Care Dba Urgent Team15 Old Humboldt & N Highland, Jackson, TN 38305
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
15 OLD HUMBOLDT RD STE D
JACKSON, TN 38305

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 Urgent Care, PLLC's NPI number?

The NPI number for Crossroads Urgent Care, PLLC is 1629965579. It was assigned to this organization in the NPPES registry on June 23, 2025. The provider is doing business as Urgent Team.

Where is Crossroads Urgent Care, PLLC located?

Crossroads Urgent Care, PLLC is located at 15 Old Humboldt Rd Ste D, Jackson, TN 38305. The listed phone number is (731) 256-6456.

What is Crossroads Urgent Care, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Crossroads Urgent Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2154722) is associated with this NPI, valid through September 17, 2026. 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 Urgent Care, PLLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.