Crossroads Medical Group, Pllc - Medicare Primary Care in White House, TN

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Crossroads Medical Group, Pllc is a medicare enrolled primary clinic (Clinic/center) in White House, Tennessee. The current practice location for Crossroads Medical Group, Pllc is 491 Sage Rd., Suite 200, White House, Tennessee. For appointments, you can reach them via phone at (615) 672-7122. The mailing address for Crossroads Medical Group, Pllc is Po Box 1669, White House, Tennessee and phone number is (615) 672-5177.

Crossroads Medical Group, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073539607. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (615) 672-7122.

Contact Information

Crossroads Medical Group, Pllc
491 Sage Rd.
Suite 200
White House
TN 37188-8193
(615) 672-7122
(615) 672-8122

Map and Direction


Primary Care Clinic Profile

Full NameCrossroads Medical Group, Pllc
SpecialityClinic/Center
Location491 Sage Rd., White House, Tennessee
Authorized Official Name and PositionRobert E. Ferguson (EXECUTIVE DIRECTOR)
Authorized Official Contact6156727122
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1073539607
Provider Enumeration Date07/15/2006
Last Update Date01/30/2008

Medicare PECOS Information:

Medicare PECOS PAC ID3779544895
Medicare Enrollment IDO20071203000721

Medical Identifiers

Medical identifiers for Crossroads Medical Group, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073539607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Crossroads Medical Group, Pllc acts as a billing entity for following providers:
Provider NameJeffrey S Jordan
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1588684104
PECOS PAC ID: 1759279912
Enrollment ID: I20040309000537
Provider NameHal J Jenkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487674016
PECOS PAC ID: 0143201830
Enrollment ID: I20040527001239
Provider NameCarol Lynn Medley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639104268
PECOS PAC ID: 9234182031
Enrollment ID: I20050221000671
Provider NameSusan M Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891726709
PECOS PAC ID: 1052320819
Enrollment ID: I20060417000711
Provider NameRonda M Worsham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396840476
PECOS PAC ID: 9739189291
Enrollment ID: I20070105000397
Provider NameBrenda Michelle Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285814954
PECOS PAC ID: 7618066168
Enrollment ID: I20071205000544
Provider NameMichele L Pruett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457653842
PECOS PAC ID: 9234328337
Enrollment ID: I20110105000369
Provider NameLauren Worthey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740584317
PECOS PAC ID: 4981885019
Enrollment ID: I20110223000474
Provider NameJeffrie Kindred
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033316484
PECOS PAC ID: 0941356315
Enrollment ID: I20110818000550
Provider NameJonathan Evans
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1568460640
PECOS PAC ID: 4880866433
Enrollment ID: I20111004000664
Provider NameMary E Genung
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447503420
PECOS PAC ID: 4284870346
Enrollment ID: I20130415000440
Provider NamePaula Havelin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376814095
PECOS PAC ID: 1456590439
Enrollment ID: I20130624000491
Provider NameJulie Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144618133
PECOS PAC ID: 6800112681
Enrollment ID: I20150313002304
Provider NameWendy M Mell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962668210
PECOS PAC ID: 0547589434
Enrollment ID: I20150427000904
Provider NameStacey Lorraine Hartley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780080663
PECOS PAC ID: 7810205739
Enrollment ID: I20150925002228
Provider NamePatricia Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619495819
PECOS PAC ID: 9830465467
Enrollment ID: I20171025002647
Provider NameKayli Krasnow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154835478
PECOS PAC ID: 4082961602
Enrollment ID: I20180726003543
Provider NameCharly Lynn Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871084442
PECOS PAC ID: 2668723651
Enrollment ID: I20181002001428
Provider NameChelsea Lane Gondek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013474352
PECOS PAC ID: 7012243652
Enrollment ID: I20190719001717
Provider NameCourtney Blaine Eli
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1225697089
PECOS PAC ID: 0446586978
Enrollment ID: I20190722002874
Provider NameEwelina Freudenberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205488202
PECOS PAC ID: 5294067914
Enrollment ID: I20191030002052
Provider NameDana King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164032363
PECOS PAC ID: 6204246267
Enrollment ID: I20201102001990
Provider NameTyler Singleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396115143
PECOS PAC ID: 9335435445
Enrollment ID: I20201109000534
Provider NameBrian Bade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932518677
PECOS PAC ID: 1557688587
Enrollment ID: I20210212000382
Provider NameAbigail Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477144459
PECOS PAC ID: 7810303104
Enrollment ID: I20210311001008
Provider NameLacee Lowder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043859697
PECOS PAC ID: 0244668507
Enrollment ID: I20210812000161
Provider NameEmily Paskewitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508432899
PECOS PAC ID: 0840684866
Enrollment ID: I20220308001036
Provider NameTeah Lyn Brandt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487197588
PECOS PAC ID: 7315221777
Enrollment ID: I20220719002749
Provider NameBridgett Middleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750032678
PECOS PAC ID: 3274915608
Enrollment ID: I20220802002652
Provider NameMichael E Steele
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427187673
PECOS PAC ID: 4385743517
Enrollment ID: I20221004001748
Provider NameHannah Cisson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144958547
PECOS PAC ID: 3173999679
Enrollment ID: I20221025003088
Provider NameDanielle Ann Dubois
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073128161
PECOS PAC ID: 6103297817
Enrollment ID: I20230117000903
Provider NameCaitlyn M Creasey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063119972
PECOS PAC ID: 8527433416
Enrollment ID: I20230406000832
Provider NameClayton Crawley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831728930
PECOS PAC ID: 6406217884
Enrollment ID: I20230801004170

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.