Active NPI
Blue Ridge Integrative Wellness LLC
- Pulmonary Disease Physician
- Dryden, VA
National Provider Identifier
1083192595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- BLUE RIDGE INTEGRATIVE WELLNESS LLC
- Practice address
- 512 Dryden Loop
Dryden, VA 24243 - Phone
- (252) 832-1588
- Fax
- (276) 246-1658
- NPI assigned
- Aug 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rodney Terry
- Title
- Project Director
- Phone
- (252) 452-6075
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
512 Dryden Loop
Dryden, VA 24243
Mailing address
189 Dinsmore Rd
Dryden, VA 24243-8378
Phone (276) 832-1588
Other names 1
- The Carson Clinic
National Provider Directory
National Provider DirectoryLocations
850 Riverview Ave
Fl 3
Pineville, KY 40977
Phone (252) 452-4080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762905600000",
"number": "1083192595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 DINSMORE RD",
"city": "DRYDEN",
"state": "VA",
"postal_code": "242438378",
"telephone_number": "276-832-1588",
"fax_number": "276-246-1658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 DRYDEN LOOP",
"city": "DRYDEN",
"state": "VA",
"postal_code": "24243",
"telephone_number": "252-832-1588",
"fax_number": "276-246-1658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE INTEGRATIVE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-06",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A",
"authorized_official_last_name": "TERRY",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "PROJECT DIRECTOR",
"authorized_official_telephone_number": "252-452-6075",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Carson Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dryden, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.