Crossroads Family Associates #1 – Family Medicine Physician, NPI 1780678797

Crossroads Family Associates #1 is a healthcare provider. based in Mount vernon, Illinois. specializing in Family Medicine Physician. The NPI Number for Crossroads Family Associates #1 is 1780678797

Main info

Organization
Name
Crossroads Family Associates #1
NPI
1780678797
Phone
(618) 242-3119
Address
209 CROSSROADS PL
Authorized Official
DEBBIE T BREWER DIRECTOR OF PROVIDER ENROLLMENT
Enumeration Date
6 September 2005
Last Update Date
2 January 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Crossroads Family Associates #1

  • 209, Crossroads Place, Mount Vernon, Jefferson County, Illinois, 62864, United States

    SUITE 120

    MOUNT VERNON, IL 628646254

    Phone: (618) 242-3119

    Fax: (618) 242-3132

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62864)

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Reviews

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Frequently asked questions

Can I verify Crossroads Family Associates #1 with an NPI only?
You can start verification with NPI 1780678797 for Crossroads Family Associates #1, then check state licensing separately.
Can I rely on Crossroads Family Associates #1 being an active provider?
As of the registry snapshot, Crossroads Family Associates #1 is marked active.
What is Crossroads Family Associates #1's primary classification?
Family Medicine Physician is the headline specialty for Crossroads Family Associates #1 here. Clinical services aligned with this taxonomy classification.
Where is Crossroads Family Associates #1 based?
Crossroads Family Associates #1 is tied to Mount Vernon, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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