CROSSROADS TREATMENT CENTER OF CALHOUN, PC (NPI# 1932626892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932626892 |
| Entity Type | Organization |
| Organization Name | CROSSROADS TREATMENT CENTER OF CALHOUN, PC |
| Practice Address |
367 Richardson Rd Se Calhoun GA 30701-3619 |
| Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
| Practice Telephone | 7622042451 |
| Practice Fax Number | 7622042294 |
| Mailing Telephone | 8645273145 |
| Mailing Fax Number | 8649900653 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-03-28 |
| Authorized Official Name | DR. RUPERT MCCORMAC (PRESIDENT) |
| Authorized Official Telephone | 8645273145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Street Address |
367 RICHARDSON RD SE |
| City | CALHOUN |
| State | GA |
| Zip Code | 30701-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457789463 | Lindy Lee | Registered Nurse | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2013-10-30 |
| 1871190421 | Audra Michelle Mills | Counselor | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2020-10-07 |
| 1730792169 | Larkettei Burley | Counselor | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2020-08-25 |
| 1174169379 | Julie Lynn Wills | Registered Nurse | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2019-11-22 |
| 1285291484 | Melinda Chapman | Registered Nurse | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2019-05-22 |
| 1821554544 | Lacey Rhinehart | Licensed Practical Nurse | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2019-02-19 |
| 1164988994 | Monica Burge | Counselor | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2019-02-18 |
| 1639673288 | Amy Kozody | Licensed Practical Nurse | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2018-03-20 |
| 1790289346 | Rexford Djomoah | Pharmacist | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2018-03-20 |
| 1760986319 | Anne Mcafee | Licensed Practical Nurse | 367 Richardson Rd Se, Calhoun, GA 30701-3619 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1639714140 | Alexis Mann | Counselor | 629 Harkins Street, Calhoun, GA 30701 | 2019-11-08 |
| 1649812322 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Lovers Lane, Calhoun, GA 30701 | 2019-10-14 |
| 1225679186 | Alexandra Halleck | Physical Therapy Assistant | 1387 Hwy 41 N, Calhoun, GA 30701 | 2019-10-02 |
| 1508325432 | Angela Munyan Chin | Nurse Practitioner | 1754 Everett Springs Rd Ne, Calhoun, GA 30701 | 2019-03-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 1568990018 | Katherine Ann Hayes | Physical Therapy Assistant | Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 | 2017-05-30 |
| 1639566508 | Moslem Eskandari | Pharmacist | 1101 Red Bud Rd, Calhoun, GA 30701 | 2015-04-18 |
| 1366882367 | Stella P. Bonner | Dentist | 500 South Wall St., Calhoun, GA 30701 | 2013-07-05 |
| 1417393885 | New Serenity Inc | Clinic/Center | 1321 Hwy 41 N, Calhoun, GA 30701 | 2013-05-13 |
| Find all providers in zip 30701 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417393885 | New Serenity Inc | Clinic/Center | 1321 Hwy 41 N, Calhoun, GA 30701 | 2013-05-13 |
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| 1912528696 | Pittard Clinic LLC | Clinic/Center | 1654 Falls Rd, Toccoa, GA 30577 | 2020-05-04 |
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1275165755 | Walton County Treatment Center LLC | Clinic/Center | 3543 Highway 81 Ste 201, Loganville, GA 30052-4336 | 2020-02-12 |
| 1023640596 | Georgia Treatment Center LLC | Clinic/Center | 514 W Maple St Ste 1206, Cumming, GA 30040-2536 | 2020-02-12 |
| 1417587502 | Ringgold Treatment Center LLC | Clinic/Center | 8292 Highway 41, Ringgold, GA 30736-2354 | 2020-01-17 |
| 1952931164 | Southeast Georgia Treatment Center | Clinic/Center | 816 Professional Center Dr, Eastman, GA 31023-6734 | 2020-01-16 |
| 1508405150 | Woodstock Treatment Center LLC | Clinic/Center | 270 Heritage Walk, Woodstock, GA 30188-3875 | 2019-12-30 |
| 1588208128 | Narquest Healthcare Services, LLC | Clinic/Center | 1766 Memorial Dr Ste 3, Waycross, GA 31501-1098 | 2019-11-06 |
| 1619511334 | Douglasville Healthcare Services, LLC | Clinic/Center | 4158 Washington Rd Ste 4, Evans, GA 30809-4720 | 2019-11-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.