Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crossroads Clinic PLLC

Organization Primary Care Nurse Practitioner · NPI 1043662687

Crossroads Clinic PLLC is a Primary Care Nurse Practitioner in Ooltewah, Tennessee. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1667 Ooltewah Ringgold Rd Ste 111
Ooltewah, TN 37363-9830
Phone: (423) 825-4881
Fax: (423) 825-4882
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1043662687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Vergot — Owner · (423) 902-0681
NPI enumeratedJuly 7, 2016
Last updated in NPPESJuly 7, 2016
Mailing address1667 Ooltewah Ringgold Rd, Suite 111, Ooltewah, TN 37363-9830

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