Blue Ridge Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BLUE RIDGE RADIOLOGY PC

Practice address

35 Hospital Rd
Blairsville, GA 30512-3139

Phone

(770) 532-9936

NPI assigned

Mar 18, 2020

Last updated

Jun 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale R Erwin, MD

Title

Owner

Phone

(770) 540-2307

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1174159461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305030275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "770-532-9936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hiawassee",
            "state": "GA",
            "postal_code": "305463408",
            "country_code": "US",
            "telephone_number": "706-896-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE RIDGE RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-540-2307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blairsville Family Practice, PC
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• Jonathan A Bloch, MD
• Kathryn Blocker, M.D.
• Blue Ridge Orthopedics Inc.
• Carrie Bowden, FNP
• Kaitlyn Boyce
• Douglas Keith Bradford, CRNA
• Teresa Michele Bradford, MD
• Brasstown Professional Pharmacy, Inc

• Diagnostic Radiology Physician in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.