Crossroads Medical Group, Pllc | |
491 Sage Rd. Suite 200 White House TN 37188-8193 | |
(615) 672-7122 | |
(615) 672-8122 |
Full Name | Crossroads Medical Group, Pllc |
---|---|
Speciality | Clinic/Center |
Location | 491 Sage Rd., White House, Tennessee |
Authorized Official Name and Position | Robert E. Ferguson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6156727122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Crossroads Medical Group, Pllc Po Box 1669 White House TN 37188-1669 Ph: (615) 672-5177 | Crossroads Medical Group, Pllc 491 Sage Rd. Suite 200 White House TN 37188-8193 Ph: (615) 672-7122 |
NPI Number | 1073539607 |
---|---|
Provider Enumeration Date | 07/15/2006 |
Last Update Date | 01/30/2008 |
Medicare PECOS PAC ID | 3779544895 |
---|---|
Medicare Enrollment ID | O20071203000721 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073539607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jeffrey S Jordan |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1588684104 PECOS PAC ID: 1759279912 Enrollment ID: I20040309000537 |
Provider Name | Hal J Jenkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487674016 PECOS PAC ID: 0143201830 Enrollment ID: I20040527001239 |
Provider Name | John Pennington |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063506921 PECOS PAC ID: 6800853060 Enrollment ID: I20041220000459 |
Provider Name | Carol Lynn Medley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639104268 PECOS PAC ID: 9234182031 Enrollment ID: I20050221000671 |
Provider Name | Susan M Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891726709 PECOS PAC ID: 1052320819 Enrollment ID: I20060417000711 |
Provider Name | Ronda M Worsham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396840476 PECOS PAC ID: 9739189291 Enrollment ID: I20070105000397 |
Provider Name | Brenda Michelle Simmons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285814954 PECOS PAC ID: 7618066168 Enrollment ID: I20071205000544 |
Provider Name | Donna Allison Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710984182 PECOS PAC ID: 0941363204 Enrollment ID: I20090113000253 |
Provider Name | Sherry D Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194048413 PECOS PAC ID: 9739213182 Enrollment ID: I20100820000121 |
Provider Name | Michele L Pruett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457653842 PECOS PAC ID: 9234328337 Enrollment ID: I20110105000369 |
Provider Name | Lauren Worthey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740584317 PECOS PAC ID: 4981885019 Enrollment ID: I20110223000474 |
Provider Name | Jeffrie Kindred |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033316484 PECOS PAC ID: 0941356315 Enrollment ID: I20110818000550 |
Provider Name | Jonathan Evans |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1568460640 PECOS PAC ID: 4880866433 Enrollment ID: I20111004000664 |
Provider Name | Kelly D Odum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841572922 PECOS PAC ID: 5698938157 Enrollment ID: I20120519000050 |
Provider Name | Mary E Genung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447503420 PECOS PAC ID: 4284870346 Enrollment ID: I20130415000440 |
Provider Name | Trisha Hutson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568701662 PECOS PAC ID: 1850538042 Enrollment ID: I20130507000456 |
Provider Name | Shavonne Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720326200 PECOS PAC ID: 5294974564 Enrollment ID: I20130617000709 |
Provider Name | Paula Havelin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376814095 PECOS PAC ID: 1456590439 Enrollment ID: I20130624000491 |
Provider Name | Julie Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144618133 PECOS PAC ID: 6800112681 Enrollment ID: I20150313002304 |
Provider Name | Wendy M Mell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962668210 PECOS PAC ID: 0547589434 Enrollment ID: I20150427000904 |
Provider Name | Stacey Lorraine Hartley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780080663 PECOS PAC ID: 7810205739 Enrollment ID: I20150925002228 |
Provider Name | Jennifer Lynn Murff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295128957 PECOS PAC ID: 3870893225 Enrollment ID: I20151208000770 |
Provider Name | Patricia Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619495819 PECOS PAC ID: 9830465467 Enrollment ID: I20171025002647 |
Provider Name | Kayli Krasnow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154835478 PECOS PAC ID: 4082961602 Enrollment ID: I20180726003543 |
Provider Name | Charly Lynn Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871084442 PECOS PAC ID: 2668723651 Enrollment ID: I20181002001428 |
Provider Name | Charles Andrew Mullins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881628998 PECOS PAC ID: 0648210633 Enrollment ID: I20190306003688 |
Provider Name | Chelsea Lane Gondek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013474352 PECOS PAC ID: 7012243652 Enrollment ID: I20190719001717 |
Provider Name | Courtney Blaine Mclean |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1225697089 PECOS PAC ID: 0446586978 Enrollment ID: I20190722002874 |
Provider Name | Ewelina Freudenberger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205488202 PECOS PAC ID: 5294067914 Enrollment ID: I20191030002052 |
Provider Name | Nicholas Winchester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215589635 PECOS PAC ID: 7810320454 Enrollment ID: I20191212000117 |
Provider Name | Dana King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164032363 PECOS PAC ID: 6204246267 Enrollment ID: I20201102001990 |
Provider Name | Tyler Singleton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396115143 PECOS PAC ID: 9335435445 Enrollment ID: I20201109000534 |
Provider Name | Brian Bade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932518677 PECOS PAC ID: 1557688587 Enrollment ID: I20210212000382 |
Provider Name | Abigail Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477144459 PECOS PAC ID: 7810303104 Enrollment ID: I20210311001008 |
Provider Name | Lacee Lowder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043859697 PECOS PAC ID: 0244668507 Enrollment ID: I20210812000161 |
Provider Name | Amy Maddux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487316238 PECOS PAC ID: 7810395191 Enrollment ID: I20211018002767 |
Provider Name | Emily Paskewitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508432899 PECOS PAC ID: 0840684866 Enrollment ID: I20220308001036 |
Provider Name | Teah Lyn Brandt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487197588 PECOS PAC ID: 7315221777 Enrollment ID: I20220719002749 |
Provider Name | Bridgett Middleton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750032678 PECOS PAC ID: 3274915608 Enrollment ID: I20220802002652 |
Provider Name | Lauren M Matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477107274 PECOS PAC ID: 6800270158 Enrollment ID: I20220906000611 |
Provider Name | Michael E Steele |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427187673 PECOS PAC ID: 4385743517 Enrollment ID: I20221004001748 |
Provider Name | Hannah Cisson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144958547 PECOS PAC ID: 3173999679 Enrollment ID: I20221025003088 |
Provider Name | Danielle Ann Dubois |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073128161 PECOS PAC ID: 6103297817 Enrollment ID: I20230117000903 |
Provider Name | Caitlyn M Creasey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063119972 PECOS PAC ID: 8527433416 Enrollment ID: I20230406000832 |
Provider Name | Clayton Crawley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831728930 PECOS PAC ID: 6406217884 Enrollment ID: I20230801004170 |
One To One Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Meadows Rd, White House, TN 37188 Phone: 423-718-9188 | |
Crossroads Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 Sage Road, Suite 200, White House, TN 37188 Phone: 615-672-7122 | |
A. R. Walker, M.d., L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 538 Raymond Hirsch Pkwy, White House, TN 37188 Phone: 615-672-1221 Fax: 615-672-1231 | |
All About Health Medical, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2759 Highway 31 W Ste 2, White House, TN 37188 Phone: 615-672-3568 | |
Primary Care Depot Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Highway 76, White House, TN 37188 Phone: 615-866-8244 | |
Simonton Eye Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2823 Highway 31 W # South, White House, TN 37188 Phone: 615-672-4683 Fax: 615-672-4643 |