Blue Ridge Healthcare Medical Group, Inc.
Organization Active NPI Family Medicine Physician · Rutherford College, NC
NPI 1285735191 · NPPES record last updated Apr 23, 2010
Key facts
- NPI
- 1285735191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
- Practice address
- 730 Malcolm Blvd
Suite 150
Rutherford College, NC 28671 - Phone
- (828) 879-8684
- Fax
- (828) 879-8459
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Fritts
- Title
- SVP/Cfo
- Phone
- (828) 580-5545
Practitioners 8
-
Andres Scott Carden, M.D.
-
Shawn M Hamm, DO
-
Caroline Kaye Lynn, NP-C
-
Shana C Rhyne, ANP
-
Wenimar D. Salvador, M.D.
-
Eric Tavis Sevensma, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070110000601 | NC | Part B Supplier - Clinic/Group Practice | 9436159712 |
Receives reassigned benefits from 346 practitioners This NPI is an additional NPI on the enrollment Practice locations: Morganton, NC; Marion, NC; Morgantown, NC; Nebo, NC; Valdese, NC; Winterville, NC; Connelly Springs, NC; Granite Falls, NC… |
National Provider Directory
Locations
700 E Morehead St
Charlotte, NC 28202
2293 Sugar Hill Rd
#A
Marion, NC 28752
2293 Sugar Hill Rd
Ste C
Marion, NC 28752
Phone (828) 652-3019
348 Grace Corpening Dr
Marion, NC 28752
Phone (828) 580-6821
2209 S Sterling St
Ste 200
Morganton, NC 28655
Phone (828) 580-6572
2201 S Sterling St
Ste 200
Morganton, NC 28655
2201 S Sterling St
Ste 147
Morganton, NC 28655
201 E Parker Rd
Morganton, NC 28655
Phone (828) 433-1206
2209 S Sterling St
Ste 330
Morganton, NC 28655
Phone (828) 580-7536
111 Foothills Dr
Ste B
Morganton, NC 28655
Phone (828) 437-8158
111 Foothills Dr
Ste A
Morganton, NC 28655
Phone (828) 580-3020
2209 S Sterling St
Ste 520
Morganton, NC 28655
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician |
204D00000X | |||
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
730 Malcolm Blvd
Suite 150
Rutherford College, NC 28671
Mailing address
730 Malcolm Blvd.
Suite 150
Rutherford College, NC 28671
Phone (828) 879-8684
Other names
- Blue Ridge Family Practice
Other providers in Rutherford College, NC
- Blue Ridge Healthcare Hospitals, Inc.
- Blue Ridge Healthcare Medical Group
- Blue Ridge Healthcare Medical Group, Inc
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
All providers in Rutherford College, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.