1. Home
  2. Directory
  3. Tennessee
  4. Fayetteville
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
NPI 1780541607
Clinic/Center - Rehabilitation, Substance Use Disorder in Fayetteville, TN

Active since January 05, 2026CLIA Certified · 6 labs
4140 THORNTON TAYLOR PKWY STE D, FAYETTEVILLE, TN 37334(800) 805-6989(864) 558-8511 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 2, 2026, Jan 5, 2026 (2 updates tracked since 2026).

About Crossroads Treatment Centers Of Tennessee, P.c. NPPES

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

CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C. (NPI 1780541607) is a healthcare organization registered as a rehabilitation, substance use disorder in Fayetteville, Tennessee and active in the NPI registry since January 2026. The organization holds 6 active CLIA laboratory certificates, maintains 10 additional practice locations, and lists Rupert Mccormac, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1780541607
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
Location Address4140 THORNTON TAYLOR PKWY STE DFayetteville, TN 37334-2290
Mailing AddressPo Box 749057Atlanta, GA 30374-9057 · (800) 805-6989 · Fax (864) 558-8511
Phone(800) 805-6989
Fax(864) 558-8511
Organization SubpartNo
Authorized OfficialRupert MccormacChief Executive Officer · (443) 280-7071
Enumeration DateJanuary 5, 2026
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1780541607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
4140 THORNTON TAYLOR PKWY STE D, Fayetteville, TN 37334
Open in Google Maps ↗

Secondary Practice Locations 10

Location 1230 Bowman StMorristown, TN 37813-3871 · Phone (800) 805-6989 · Fax (864) 558-8511
Location 22001 Highland AveKnoxville, TN 37916-1217 · Phone (800) 805-6989 · Fax (864) 558-8511
Location 3127 Ledford Mill RdTullahoma, TN 37388-2278 · Phone (800) 805-6989 · Fax (864) 558-8511
Location 45864 Highway 153 Ste 112Hixson, TN 37343-5187 · Phone (800) 805-6989 · Fax (864) 558-8511
Location 5106 Administration Rd Ste 3Oak Ridge, TN 37830-6954 · Phone (800) 805-6989 · Fax (864) 558-8511
Location 63114 Browns Mill RdJohnson City, TN 37604-1417 · Phone (800) 805-6989 · Fax (864) 558-8511
Location 72911 Essary Dr Ste 200Knoxville, TN 37918-2469 · Phone (800) 805-6989 · Fax (864) 558-8511
Location 8712 Professional Plaza DrGreeneville, TN 37745-5138 · Phone (800) 805-6989 · Fax (864) 558-8511
Location 9161 Mose Dr Ste 3Sparta, TN 38583-1502 · Phone (800) 805-6989 · Fax (864) 558-8511
Location 10330 Heritage BlvdNewport, TN 37821-4241 · Phone (800) 805-6989 · Fax (864) 558-8511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Treatment Centers Of Tennessee, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Crossroads Treatment Centers Of Tennessee, P.C., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner25
Addiction Medicine4
Clinical Social Worker4
Emergency Medicine4
Internal Medicine4
Mental Health Counselor4
Family Practice2
General Practice2
2 other specialties3

Nearest to this location (20)

See all 52
Robert Kasa, MD
General Practice
NPI 1891793956
127 LEDFORD MILL RD STE B
Tullahoma, TN 37388
(931) 841-3311
✔ PECOS24 mi
Kellie Marsh, APRN
Nurse Practitioner
NPI 1023544301
127 LEDFORD MILL RD
Tullahoma, TN 37388
(931) 841-3311
✔ PECOS✔ Accepts Medicare24 mi
Favian Short Chunn
Mental Health Counselor
NPI 1194568568
2910 WELLINGTON PL
Murfreesboro, TN 37128
(615) 796-3951
✔ PECOS47 mi
Donald Blaschke, M.D.
Emergency Medicine
NPI 1447271234
118 W WALNUT ST
Smithville, TN 37166
(615) 979-9453
✔ PECOS69 mi
Rebecca Martin, MD, PHD
Emergency Medicine
NPI 1548656861
975 E 3RD ST
Chattanooga, TN 37403
(423) 778-7628
✔ PECOS✔ Accepts Medicare72 mi
Karen Avery, MD
Addiction Medicine
NPI 1447293428
5870 HIGHWAY 153 STE 122
Hixson, TN 37343
(423) 243-3342
✔ PECOS74 mi
Shana Ellis, CRNP
Nurse Practitioner
NPI 1164938544
4083 CLOUD SPRINGS RD
Ringgold, GA 30736
(706) 820-6143
✔ PECOS78 mi
Amber Matheney, PMHNP
Nurse Practitioner
NPI 1538782750
278 DRY VALLEY RD
Cookeville, TN 38506
(931) 839-2244
✔ PECOS94 mi
Ashlyn Fowler, APN
Nurse Practitioner
NPI 1255153334
137 OBRIEN DR
Crossville, TN 38555
(931) 484-2220
✔ PECOS✔ Accepts Medicare102 mi
Desiree Roa, M.D.
Internal Medicine
NPI 1477714442
2305 N GATEWAY AVE
Harriman, TN 37748
(800) 805-6989
✔ PECOS✔ Accepts Medicare120 mi
Tracy Stratton
Nurse Practitioner
NPI 1043532419
4233 HIGHWAY 411
Madisonville, TN 37354
(423) 442-2622
✔ PECOS✔ Accepts Medicare127 mi
Paul Pyles, MD
Psychiatry
NPI 1568496560
1415 OLD WEISGARBER RD STE 360
Knoxville, TN 37909
(865) 588-3173
✔ PECOS✔ Accepts Medicare153 mi
Lainy Mistich, LPC-MHSP
Mental Health Counselor
NPI 1609410422
206 BARBERRY CT
Maryville, TN 37804
(504) 912-0197
✔ PECOS✔ Accepts Medicare157 mi
Mei-Fung Kerley, MD
Internal Medicine
NPI 1679502314
2001 HIGHLAND AVE
Knoxville, TN 37916
(865) 633-0353
✔ PECOS157 mi
Jean Mcguire, MD
Anesthesiology
NPI 1558597765
2001 HIGHLAND AVE
Knoxville, TN 37916
(865) 633-0353
✔ PECOS157 mi
Donald Sleeter, MD
Emergency Medicine
NPI 1023055563
110 HOSPITAL DR
Jefferson City, TN 37760
(865) 471-2500
✔ PECOS183 mi
Courtney Dukes, LCSW
Clinical Social Worker
NPI 1265004881
3775 CHARLES BARTLETT RD
Millington, TN 38053
(901) 619-9949
✔ PECOS✔ Accepts Medicare192 mi
Kevin Johnson, DO
Family Practice
NPI 1598826349
230 BOWMAN ST STE C
Morristown, TN 37813
(423) 586-3249
✔ PECOS196 mi
Christopher Copeland, M.D.
Addiction Medicine
NPI 1285602938
330 HERITAGE BLVD
Newport, TN 37821
(423) 623-7043
✔ PECOS197 mi
Hannah Ratliff, D.O.
General Practice
NPI 1295179364
300 VALLEY ST NE
Abingdon, VA 24210
(276) 206-8197
✔ PECOS279 mi
See all 52 clinicians

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

CLIA Laboratory Certificates CMS CLIA 6

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 44D2159397

Crossroads Treatment Centers Of Tennessee, PC · Knoxville, TN
Active · expires Dec 17, 2026
CLIA Number44D2159397
Laboratory TypeOpoid Treatment
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorKeivan Ettefagh
Laboratory Phone(855) 694-8288
Laboratory LocationCrossroads Treatment Centers Of Tennessee, PC2001 Highland Avenue, Knoxville, TN 37916
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2158344

Crossroads Treatment Centers Of Tennessee, PC Dba Crossroads Treatment Centers Morristown · Morristown, TN
Active · expires Nov 26, 2028
CLIA Number44D2158344
Laboratory TypeOpoid Treatment
Certificate Effective DateNovember 27, 2026
Certificate Expiration DateNovember 26, 2028
Laboratory DirectorKeivan Ettefagh
Laboratory Phone(855) 694-8288
Laboratory LocationCrossroads Treatment Centers Of Tennessee, PC Dba Crossroads Treatment Centers Morristown230 Bowman Street, Morristown, TN 37813
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2310423

Crossroads Treatment Centers Of Tennessee, PC Dba Crossroads Treatment Centers Sparta · Sparta, TN
Active · expires Sep 3, 2028
CLIA Number44D2310423
Laboratory TypeObot
Certificate Effective DateSeptember 4, 2026
Certificate Expiration DateSeptember 3, 2028
Laboratory DirectorKeivan Ettefagh
Laboratory Phone(855) 694-8288
Laboratory LocationCrossroads Treatment Centers Of Tennessee, PC Dba Crossroads Treatment Centers Sparta161 Mose Drive, Sparta, TN 38583
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2310446

Crossroads Treatment Centers Of Tennessee (tullahoma) · Tullahoma, TN
Active · expires Sep 3, 2028
CLIA Number44D2310446
Laboratory TypeObot
Certificate Effective DateSeptember 4, 2026
Certificate Expiration DateSeptember 3, 2028
Laboratory DirectorKeivan Ettefagh
Laboratory Phone(877) 848-9810
Laboratory LocationCrossroads Treatment Centers Of Tennessee (tullahoma)127 Ledford Mill Rd, Tullahoma, TN 37388
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2310460

Crossroads Treatment Centers Of Tennessee (fayetteville) · Fayetteville, TN
Active · expires Sep 3, 2028
CLIA Number44D2310460
Laboratory TypeObot
Certificate Effective DateSeptember 4, 2026
Certificate Expiration DateSeptember 3, 2028
Laboratory DirectorDr. Keivan Ettefagh
Laboratory Phone(877) 848-9810
Laboratory LocationCrossroads Treatment Centers Of Tennessee (fayetteville)4140 Thornton Taylor Parkway, Suite D, Fayetteville, TN 37334
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2159399

Crossroads Treatment Centers Of Tennessee PC (newport) · Newport, TN
Active · expires Dec 17, 2026
CLIA Number44D2159399
Laboratory TypeOpoid Treatment
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorKeivan Ettefagh
Laboratory Phone(877) 848-9810
Laboratory LocationCrossroads Treatment Centers Of Tennessee PC (newport)330 Heritage Blvd, Newport, TN 37821
CLIA data matches this NPI record on: Address
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 Crossroads Treatment Centers Of Tennessee, P.C.'s NPI number?

The NPI number for Crossroads Treatment Centers Of Tennessee, P.C. is 1780541607. It was assigned to this organization in the NPPES registry on January 5, 2026.

Where is Crossroads Treatment Centers Of Tennessee, P.C. located?

Crossroads Treatment Centers Of Tennessee, P.C. is located at 4140 Thornton Taylor Pkwy Ste D, Fayetteville, TN 37334. The listed phone number is (800) 805-6989.

What is Crossroads Treatment Centers Of Tennessee, P.C.'s specialty?

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

Is Crossroads Treatment Centers Of Tennessee, P.C. enrolled in Medicare?

Yes. Crossroads Treatment Centers Of Tennessee, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crossroads Treatment Centers Of Tennessee, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 10 Medicare specialties reassign their Medicare billing to Crossroads Treatment Centers Of Tennessee, P.C.. 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. The largest specialties are Nurse Practitioner (25), Addiction Medicine (4) and Clinical Social Worker (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Crossroads Treatment Centers Of Tennessee, P.C. hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Crossroads Treatment Centers Of Tennessee, P.C. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Crossroads Treatment Centers Of Tennessee, P.C. 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, P.C. was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.