Organization Active NPI

Blue Ridge General Surgery, PC

  • Surgery Physician
  • Spruce Pine, NC
National Provider Identifier
1194943092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9601047 Issued in NC
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03150OtherNCBCBS OF NC
8910603MedicaidNC
1709469OtherNCUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.