CPC-CROSSROADS – NPI #1205179173
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CPC-CROSSROADS is a provider located in AUGUSTA, GA. NPPES has assigned the NPI number 1205179173 to CPC-CROSSROADS on March 29, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Oct 23, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CPC-CROSSROADS below.

NPI Profile for
CPC-CROSSROADS

NPI Number
1205179173
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CPC-CROSSROADS
Primary location
1701 MAGNOLIA WAY STE 101
AUGUSTA, GA 30909-9484
Phone: (706) 922-6600 Fax: (706) 650-0239
Mailing address
PO BOX 2510
EVANS, GA 30809-2510
Phone: (706) 922-8251 Fax: (706) 922-6695
Organization Subpart
No
Authorized Official
ROBERT CLARK
PHYSICIAN
Phone: (706) 922-8294
Updated
Certification Date
Oct 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.