NPIMap

Organization Active NPI

Blue Ridge Community Health Services, Inc.

Doing business as Blue Ridge Health-Swain

  • Federally Qualified Health Center (FQHC)
  • Bryson City, NC
National Provider Identifier
1124668868
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Doing business as
Blue Ridge Health-Swain
Practice address
264 Highway 19 S Ste 4
Bryson City, NC 28713-1134
Phone
(828) 341-1060
Fax
(828) 341-1804
NPI assigned
Jan 10, 2020
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy R Greenwell
Title
Ceo
Phone
(828) 233-2284

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

264 Highway 19 S Ste 4
Bryson City, NC 28713-1134

Mailing address

220 5TH Ave E
Hendersonville, NC 28792-4377
Phone (828) 692-4289

Other identifiers 1

IdentifierTypeStateIssuer
1124668868MedicaidNC

Other names 1

  • Blue Ridge Health-Swain Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200313002083 NC Part A Provider - Federally Qualified Health Center (FQHC) 3173434743 Practice locations: Bryson City, NC
O20200422002354 NC Part B Supplier - Clinic/Group Practice 3173434743 Receives reassigned benefits from 143 practitioners
Practice locations: Bryson City, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124668868. Details of each certification follow.

Federally qualified health center certification: CCN 341143

Legal name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Doing business as
BLUE RIDGE HEALTH-SWAIN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 13, 2020
Last certification
Mar 13, 2020
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 3, 1963 in NC
Enrollment address
264 Highway 19 S
Ste 4
Bryson City, NC 28713-1134

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2197988Blue Ridge Health - Swain Health Center264 Highway 19 S Ste 4, Bryson City, NC 28713Provider-performed microscopyOct 28, 2026

National Provider Directory

National Provider Directory
Part of
Blue Ridge Comm HLTH SVCS

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Juan Ramirez Individual Corporate DirectorBoard of Directors Jan 1, 2008
Joshua James Kennedy Individual Corporate DirectorBoard of Directors Jun 1, 2017
Marilyn W Tatham Individual W-2 Managing EmployeeProvider Enrollment Manager Jan 1, 2020
James Spiro Individual Corporate DirectorBoard of Directors Oct 1, 2021
Renee Dipiero Kumor Individual Corporate DirectorBoard of Directors Nov 1, 2022
Robert B Cochran Individual Corporate DirectorBoard of Directors Oct 1, 2021
Tammy Renee Greenwell Individual Corporate DirectorBoard of Directors Aug 28, 2025
W-2 Managing EmployeeAd;Ceo Aug 28, 2025
Linda Ann Weldon Individual Corporate DirectorBoard of Directors Apr 1, 2016
Jean M Dillon Individual Corporate DirectorBoard of Directors May 1, 2021
Lorna Barnett Individual Corporate DirectorBoard of Directors Oct 1, 2021
Karen Penny Gash-Pearson Individual Corporate DirectorBoard of Directors Jan 3, 2024
Carrie F McBane Individual Corporate DirectorBoard of Directors Oct 1, 2021
Kristie a Hannon Individual W-2 Managing EmployeePatient Financial Service Director Jan 1, 2020

Practitioners & affiliated clinicians

Practitioners 165

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 165

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1124668868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924377",
            "telephone_number": "828-692-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 HIGHWAY 19 S STE 4",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287131134",
            "telephone_number": "828-341-1060",
            "fax_number": "828-341-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.",
        "enumeration_date": "2020-01-10",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-233-2284"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124668868",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Health-Swain",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ridge Health-Swain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryson City, NC

Sources for this page

Verify at the official NPI Registry.