Active NPI
Blue Ridge General Surgery, PC
- Surgery Physician
- Spruce Pine, NC
National Provider Identifier
1194943092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9601047
- Legal business name
- BLUE RIDGE GENERAL SURGERY, PC
- Practice address
- 8017 Nineteen E Highway
Spruce Pine, NC 28777 - Phone
- (828) 765-9933
- NPI assigned
- Apr 23, 2007
- Last updated
- Aug 22, 2020
- 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
- Deborah A Robinson
- Title
- Secretary Treasurer
- Phone
- (828) 765-9933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9601047 | NC | Primary |
Addresses
Primary practice location
8017 Nineteen E Highway
Spruce Pine, NC 28777
Mailing address
8017 Nineteen E Highway
Spruce Pine, NC 28777
Phone (828) 765-9933
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03150 | Other | NC | BCBS OF NC |
| 8910603 | Medicaid | NC | |
| 1709469 | Other | NC | UNITED HEALTHCARE |
National Provider Directory
National Provider DirectoryLocations
8017 Nineteen E Hwy
Spruce Pine, NC 28777
Phone (828) 765-9933
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Washington, IN
- NPI 1558410753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194943092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8017 NINETEEN E HIGHWAY",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "28777",
"telephone_number": "828-765-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8017 NINETEEN E HIGHWAY",
"city": "SPRUCE PINE",
"state": "NC",
"postal_code": "28777",
"telephone_number": "828-765-9933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE GENERAL SURGERY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SECRETARY TREASURER",
"authorized_official_telephone_number": "828-765-9933"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "9601047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "03150",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8910603",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1709469",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spruce Pine, NC
- Aurora Behavioral Interventions, LLC
- Barbara L. Bressert, D.D.S., P.a.
- Anne Griffith Barrus, FNP
- Janice Lee Beckett, MS, ATC, LAT
- Steven H. Berman, M.D.
- Blue Ridge Home Care
- Blue Ridge Hospital System (Spruce Pine Community Hospital)
- Blue Ridge Hospital System Inc (Robert A Miller MD)
- Blue Ridge Regional Hospital (Mission Pharmacy - Blue Ridge)
- Blue Ridge Regional Hospital Inc (Blue Ridge Medical Center - Orthopaedics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.