NPI age
8 years
Enumerated 2017-08-23
● Active Type 2 · Organization
Crossroads Treatment Center Of Dawsonville, Pc
Crossroads Treatment Center Of Dawsonville, Pc is 1 of 59 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McCormac
President
Last NPPES update
2022-06-08
Source: monthly bulk 2026-05
How this organization compares
Across 59 active clinic/center providers in Georgia.
NPI age
8 years
≈ at median (9 yr)
Practice locations
1
0 secondary on file
Subspecialties
5
In the 45% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-08Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
400 Dawson Commons Cir Ste 410
Dawsonville, GA 305346269
Mailing address
200 E Broad St Ste 300
Greenville, SC 296012891
Authorized official
Rupert McCormac, MD
President
📞 8008056989
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Debora Fikremariam Pharmacist NPI 1427656701
- Shannon Jordan-Sutton Licensed Practical Nurse NPI 1801393277
- Mandeep Mathaun, LPN Licensed Practical Nurse NPI 1629602479
- Alan Metzel, PSY.D Psychologist NPI 1760622708
- Shawn Moore, FNP-C Nurse Practitioner NPI 1619222528
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
-
Clinic/CenterDefinition to come...
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Clinic/CenterDefinition to come...
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Clinic/CenterDefinition to come...
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Clinic/CenterDefinition to come...
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Community/Behavioral HealthA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | NTP001092 | STATE LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Crossroads Treatment Center of Dawsonville
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.