| Crossroads Treatment Centers | |
|
301 Falls Dr Nw Ste 353 Abingdon VA 24210-8093 | |
| (800) 805-6989 | |
| (864) 558-8511 |
| Full Name | Crossroads Treatment Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Falls Dr Nw Ste 353, Abingdon, Virginia |
| Authorized Official Name and Position | Rupert James Mccormac (PRESIDENT) |
| 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 200 E Broad St Ste 300 Greenville SC 29601-2891 Ph: (800) 805-6989 | Crossroads Treatment Centers 301 Falls Dr Nw Ste 353 Abingdon VA 24210-8093 Ph: (800) 805-6989 |
| NPI Number | 1760949127 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 01/04/2022 |
| Certification Date | 11/29/2021 |
| Medicare PECOS PAC ID | 9931535820 |
|---|---|
| Medicare Enrollment ID | O20200213000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760949127 | NPI | - | NPPES |
| Provider Name | Brian L Maggard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922051705 PECOS PAC ID: 7517854581 Enrollment ID: I20040303000838 |
| Provider Name | Zelda West Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801933007 PECOS PAC ID: 1153310073 Enrollment ID: I20040506001747 |
| Provider Name | Michael G Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417915547 PECOS PAC ID: 2860417508 Enrollment ID: I20051011001022 |
| Provider Name | Holly Ann Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033221379 PECOS PAC ID: 3971524174 Enrollment ID: I20051215000525 |
| Provider Name | Meenakshi Gopal |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1003861915 PECOS PAC ID: 7012998172 Enrollment ID: I20061003000416 |
| Provider Name | Shazia Habib Farooqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770699613 PECOS PAC ID: 7911001763 Enrollment ID: I20070403000607 |
| Provider Name | Ronald L Schubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982670493 PECOS PAC ID: 2567537087 Enrollment ID: I20080819000242 |
| Provider Name | Robert N Lowe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134158470 PECOS PAC ID: 9739249152 Enrollment ID: I20081114000621 |
| Provider Name | Henry Vega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619088424 PECOS PAC ID: 5092733253 Enrollment ID: I20090302000612 |
| Provider Name | Dante G Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922157106 PECOS PAC ID: 6800934035 Enrollment ID: I20100203000891 |
| Provider Name | Ramona Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871815316 PECOS PAC ID: 1557556537 Enrollment ID: I20101116000957 |
| Provider Name | Sheree Savage-artis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841665163 PECOS PAC ID: 2264739879 Enrollment ID: I20160328000221 |
| Provider Name | Alta Deroo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184791725 PECOS PAC ID: 7618150152 Enrollment ID: I20160701001269 |
| Provider Name | Denny R Goss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235573478 PECOS PAC ID: 0648591487 Enrollment ID: I20160713000062 |
| Provider Name | Shay K Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649593948 PECOS PAC ID: 1850573882 Enrollment ID: I20160720001669 |
| Provider Name | Wallisa T Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992990238 PECOS PAC ID: 7618021502 Enrollment ID: I20170918002301 |
| Provider Name | Mark W Mossey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841228863 PECOS PAC ID: 6507894367 Enrollment ID: I20171010001213 |
| Provider Name | Rebekah P Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144536509 PECOS PAC ID: 2062769888 Enrollment ID: I20180724003130 |
| Provider Name | Katherine Hilsinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871584631 PECOS PAC ID: 0840180378 Enrollment ID: I20180919003142 |
| Provider Name | William B Wolf |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1316262124 PECOS PAC ID: 7012968522 Enrollment ID: I20190212001858 |
| Provider Name | Cynthia Davis Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982174900 PECOS PAC ID: 7416295316 Enrollment ID: I20190220000189 |
| Provider Name | Tayler B Kerns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467921601 PECOS PAC ID: 6901147495 Enrollment ID: I20190410001642 |
| Provider Name | Amanda C Higgs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861901506 PECOS PAC ID: 5294169785 Enrollment ID: I20191216001165 |
| Provider Name | Evelyne Kingori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821650177 PECOS PAC ID: 9032544101 Enrollment ID: I20200203000255 |
| Provider Name | Viet H Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881124378 PECOS PAC ID: 1355614025 Enrollment ID: I20200213000684 |
| Provider Name | Claudia Jean White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831355759 PECOS PAC ID: 9436585320 Enrollment ID: I20200213001040 |
| Provider Name | Mehran Bajoghli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699868786 PECOS PAC ID: 5698749737 Enrollment ID: I20200214001352 |
| Provider Name | Seth Clayton Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467683300 PECOS PAC ID: 6507164506 Enrollment ID: I20200214001634 |
| Provider Name | Emmaleona Ego Agogbua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083277784 PECOS PAC ID: 0840629408 Enrollment ID: I20200406003453 |
| Provider Name | Nnemdi Kamanu Elias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538369830 PECOS PAC ID: 5395046122 Enrollment ID: I20200408003958 |
| Provider Name | Kimberly Olinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669825410 PECOS PAC ID: 5991135014 Enrollment ID: I20200413003423 |
| Provider Name | Linwood Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730398330 PECOS PAC ID: 4284969049 Enrollment ID: I20200518003204 |
| Provider Name | Katrina D Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922519693 PECOS PAC ID: 9638438567 Enrollment ID: I20200921001895 |
| Provider Name | Cameron A Brown |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1932484490 PECOS PAC ID: 5991039323 Enrollment ID: I20201007000904 |
| Provider Name | Amanda K Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467070342 PECOS PAC ID: 4284663923 Enrollment ID: I20210211002307 |
| Provider Name | Gelila Tesfaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407404452 PECOS PAC ID: 8022426741 Enrollment ID: I20210419002083 |
| Provider Name | Ebunola M Ayoola-yussuf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497938849 PECOS PAC ID: 3072905330 Enrollment ID: I20220118001260 |
| Provider Name | Sheri Kena Yarber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639817083 PECOS PAC ID: 6709261670 Enrollment ID: I20220913001061 |
| Provider Name | Ray Anthony Mercado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275606030 PECOS PAC ID: 6305960337 Enrollment ID: I20221108002768 |
| Provider Name | Mellissa Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922683036 PECOS PAC ID: 6103295282 Enrollment ID: I20221212002551 |
| Provider Name | Marcia Anne Fairbanks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992437008 PECOS PAC ID: 2365816451 Enrollment ID: I20230313000178 |
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The Doctors Office Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 609 E Main St, Abingdon, VA 24210 Phone: 276-525-8144 Fax: 276-258-5326 | |
Sw Va Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 361b Falls Dr Nw, Abingdon, VA 24210 Phone: 276-628-5752 Fax: 276-628-5190 | |
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