| 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 | Marthe-sophie Lagueux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457330649 PECOS PAC ID: 0547220204 Enrollment ID: I20041016000152 |
| 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 | Bernard Pare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881673093 PECOS PAC ID: 5193770790 Enrollment ID: I20050317000941 |
| Provider Name | Laura E Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154318418 PECOS PAC ID: 0042243420 Enrollment ID: I20050915000892 |
| Provider Name | Susan M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891726709 PECOS PAC ID: 1052320819 Enrollment ID: I20060417000711 |
| Provider Name | William Hanford Sherwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821080961 PECOS PAC ID: 6406950500 Enrollment ID: I20070329000474 |
| Provider Name | Doug Gibbons Hooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407848534 PECOS PAC ID: 2163435249 Enrollment ID: I20070329000497 |
| Provider Name | Hugh Don Cripps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255323382 PECOS PAC ID: 3577576750 Enrollment ID: I20070621000432 |
| Provider Name | Jack Randall Rhody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578555611 PECOS PAC ID: 4082627161 Enrollment ID: I20070621000481 |
| Provider Name | Brenda M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285814954 PECOS PAC ID: 7618066168 Enrollment ID: I20071205000544 |
| Provider Name | John Wb Millspaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760414429 PECOS PAC ID: 2163511361 Enrollment ID: I20071210000623 |
| Provider Name | Donna Allison Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710984182 PECOS PAC ID: 0941363204 Enrollment ID: I20090113000253 |
| Provider Name | Natalie C Gilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093953911 PECOS PAC ID: 4284781865 Enrollment ID: I20090416000758 |
| Provider Name | Deborah L Haggard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487855458 PECOS PAC ID: 8224188602 Enrollment ID: I20090604000648 |
| 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 | Deborah E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598084170 PECOS PAC ID: 4789866864 Enrollment ID: I20110310000566 |
| 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 | Patricia Marie Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396012399 PECOS PAC ID: 1557525359 Enrollment ID: I20120606000750 |
| 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 | Colleen Arrasmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215315387 PECOS PAC ID: 1153628284 Enrollment ID: I20160404002289 |
| Provider Name | Laura H Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265957054 PECOS PAC ID: 2466726724 Enrollment ID: I20170925003666 |
| 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 | Angela Mealer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891340840 PECOS PAC ID: 8022340173 Enrollment ID: I20191023001016 |
| 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 | Meredith Copley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922600501 PECOS PAC ID: 8820402209 Enrollment ID: I20210126001311 |
| 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 | Chelsey H Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548807647 PECOS PAC ID: 2365838646 Enrollment ID: I20220414000117 |
| 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 Earls |
|---|---|
| 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 | Kylie Danielle Blackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508505983 PECOS PAC ID: 4284091513 Enrollment ID: I20230601001166 |
| Provider Name | Clayton Crawley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831728930 PECOS PAC ID: 6406217884 Enrollment ID: I20230801004170 |
| Provider Name | Nathan Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144090283 PECOS PAC ID: 8426591959 Enrollment ID: I20240625001117 |
| Provider Name | Olivia A Schapker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265175970 PECOS PAC ID: 2860935343 Enrollment ID: I20240625002745 |
| Provider Name | Don Albert Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326451246 PECOS PAC ID: 0941518443 Enrollment ID: I20240826003537 |
| Provider Name | Charles G. Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942888961 PECOS PAC ID: 5092115196 Enrollment ID: I20240923001899 |
| Provider Name | Kelsey Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356138358 PECOS PAC ID: 4981114154 Enrollment ID: I20250606001847 |
| Provider Name | Aleaha Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720880669 PECOS PAC ID: 9436669447 Enrollment ID: I20250609003521 |
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 |