| Crossroads Treatment Centers Of Tennessee, Pc | |
|
2305 N Gateway Ave Unit 4 Harriman TN 37748-8683 | |
| (800) 805-6989 | |
| Not Available |
| Full Name | Crossroads Treatment Centers Of Tennessee, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2305 N Gateway Ave Unit 4, Harriman, Tennessee |
| Authorized Official Name and Position | Credentialing Staff (PRESIDENT/CEO) |
| Authorized Official Contact | 8008056989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Treatment Centers Of Tennessee, Pc 55 Beattie Pl Ste 810 Greenville SC 29601-2191 Ph: (800) 805-6989 | Crossroads Treatment Centers Of Tennessee, Pc 2305 N Gateway Ave Unit 4 Harriman TN 37748-8683 Ph: (800) 805-6989 |
| NPI Number | 1316403405 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 07/01/2021 |
| Medicare PECOS PAC ID | 6204262025 |
|---|---|
| Medicare Enrollment ID | O20200213002831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316403405 | NPI | - | NPPES |
| Provider Name | Eleanor J Farber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043459092 PECOS PAC ID: 6709936230 Enrollment ID: I20090604000148 |
| Provider Name | Tracy L Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043532419 PECOS PAC ID: 5496882300 Enrollment ID: I20100426000285 |
| Provider Name | Paul I Pyles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568496560 PECOS PAC ID: 4880799410 Enrollment ID: I20101104001220 |
| Provider Name | Desiree Roa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477714442 PECOS PAC ID: 5496924045 Enrollment ID: I20110816000571 |
| Provider Name | Joanna G Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013353176 PECOS PAC ID: 1658514500 Enrollment ID: I20130826000560 |
| Provider Name | Ladonna Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780044792 PECOS PAC ID: 6507145067 Enrollment ID: I20161128001881 |
| Provider Name | Julia V Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336615871 PECOS PAC ID: 8628304888 Enrollment ID: I20190725000744 |
| Provider Name | Ginger Y Ketron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295260537 PECOS PAC ID: 0648681569 Enrollment ID: I20201125002554 |
| Provider Name | Brittonya Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528626496 PECOS PAC ID: 2961821582 Enrollment ID: I20210210000888 |
| Provider Name | Samir Rizk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194759449 PECOS PAC ID: 3274771118 Enrollment ID: I20210603001697 |
| Provider Name | Evelyn Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245670041 PECOS PAC ID: 1052797297 Enrollment ID: I20220926002686 |
| Provider Name | Margarite Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447616891 PECOS PAC ID: 8820465040 Enrollment ID: I20221101001366 |
Clary Foote Md P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2319 S Roane St, Harriman, TN 37748 Phone: 865-882-2800 Fax: 865-882-3512 | |
Steven A Crews, Do, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 N Gateway Ave Unit 2, Harriman, TN 37748 Phone: 865-348-5854 | |
Roane Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-4440 | |
Clary Foote Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2319 S Roane St, Harriman, TN 37748 Phone: 865-882-2800 Fax: 865-882-3512 | |
Roane Health Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 S Roane Street, Harriman, TN 37748 Phone: 965-740-2497 |