NPIMap

Organization Active NPI

Blue Ridge Georgia Hospital Company LLC

Doing business as Blue Ridge Rural Health Clinic

  • Rural Health Clinic/Center
  • Blue Ridge, GA
National Provider Identifier
1134980451
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC
Doing business as
Blue Ridge Rural Health Clinic
Practice address
101 Riverstone Vis Ste 111
Blue Ridge, GA 30513-6665
Phone
(706) 492-3200
NPI assigned
Jan 23, 2024
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BLUE RIDGE GEORGIA HOSPITAL COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Melissa N Eaton, RHIA
Title
Quality Director
Phone
(706) 632-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

101 Riverstone Vis Ste 111
Blue Ridge, GA 30513-6665

Mailing address

101 Riverstone Vis Ste 104
Blue Ridge, GA 30513-6630
Phone (706) 258-4178

Other names 2

  • Blue Ridge Rural Health Clinic Doing business as
  • Blue Ridge Georgia Hospital Company LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134980451. Details of each certification follow.

Rural health clinic certification: CCN 118588

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BLUE RIDGE RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 10, 2025
Last certification
Aug 26, 2025
Ownership / control type
1B
Facility address
101 Riverstone Vista, Suite 111
Blue Ridge, GA 30513
Related CCNs
111338

National Provider Directory

National Provider Directory
Tax ID family
Roy D Johnston MD2 organizations share this tax ID, including this one
Part of
Roy D Johnston MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Riverstone Vis
Ste 104
Blue Ridge, GA 30513
Phone (706) 258-4145

101 Riverstone Vis
Ste 111
Blue Ridge, GA 30513
Phone (706) 258-4400

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1134980451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS STE 104",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136630",
            "telephone_number": "706-258-4178",
            "fax_number": "706-258-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS STE 111",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136665",
            "telephone_number": "706-492-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC",
        "enumeration_date": "2024-01-23",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "QUALITY DIRECTOR",
        "authorized_official_telephone_number": "706-632-4295",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ridge Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ridge Georgia Hospital Company LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.