MEDICARE: CROSSROADS URGENT CARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QP2300X	Primary Care Clinic/Center
2	261QU0200X	Urgent Care Clinic/Center
3	363A00000X	Physician Assistant
4	363L00000X	Nurse Practitioner
5	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1841187614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSSROADS URGENT CARE, PLLC

Provider Business Mailing Address
First Line	:	30 BURTON HILLS BLVD STE 175
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-6403
Country	:	US
Telephone Number	:	615-988-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4490 HIXSON PIKE
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-5038
Country	:	US
Telephone Number	:	423-875-0700
Fax Number	:	423-875-3391

Authorized Official
Title or Position	:	CONTROLLER
Name	:	STEPHANIE HICKS
Credential	:
Telephone Number	:	615-988-2004

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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