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CROSSOVER HEALTH MEDICAL GROUP
NPI 1902668858
Specialist in Durham, NC

Active since January 26, 2024CLIA 34D2300437 · Waiver
100 NEW MILLENNIUM WAY, DURHAM, NC 27709(919) 458-5500(919) 458-3422 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crossover Health Medical Group NPPES

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

CROSSOVER HEALTH MEDICAL GROUP (NPI 1902668858) is a healthcare organization registered as a specialist in Durham, North Carolina and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Jenette Hunter, Licensing And Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1902668858
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address100 NEW MILLENNIUM WAYDurham, NC 27709
Mailing Address100 New Millennium WayDurham, NC 27709 · (919) 458-5500 · Fax (919) 458-3422
Phone(919) 458-5500
Fax(919) 458-3422
Organization SubpartNo
Authorized OfficialJenette HunterLicensing And Credentialing Manager · (971) 500-2661
Enumeration DateJanuary 26, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1902668858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 NEW MILLENNIUM WAY, Durham, NC 27709
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 34D2300437

Crossover Health Medical Group, Apc · Durham, NC
Active · expires Mar 10, 2028
CLIA Number34D2300437
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorStephen Ezeji-Okoye
Laboratory Phone(919) 458-5500
Laboratory LocationCrossover Health Medical Group, Apc100 New Millennium Way, Durham, NC 27709
CLIA data matches this NPI record on: Address Name Phone
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 Crossover Health Medical Group's NPI number?

The NPI number for Crossover Health Medical Group is 1902668858. It was assigned to this organization in the NPPES registry on January 26, 2024.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 100 New Millennium Way, Durham, NC 27709. The listed phone number is (919) 458-5500.

What is Crossover Health Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Crossover Health Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2300437) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crossover Health Medical Group was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.