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Crossroads Clinic Pllc

Primary Care Nurse Practitioner in Ooltewah, TN · enumerated 2016 · authorized official Susan Vergot, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043662687

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Registry record

Entity type Organization (Type 2)
Legal business name Crossroads Clinic Pllc
Practice address 1667 Ooltewah Ringgold Rd, Suite 111, Ooltewah, TN, 37363
Phone (423) 825-4881
Fax (423) 825-4882
Enumeration date Jul 7, 2016
Last updated in NPPES Jul 7, 2016

Taxonomy & classification

363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Susan Vergot
Title Owner
Phone (423) 902-0681

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Crossroads Clinic Pllc?
NPPES lists Susan Vergot (Owner) as the authorized official for this organization.
What is the NPI number for Crossroads Clinic Pllc?
The NPI for Crossroads Clinic Pllc is 1043662687, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-07.