Blue Ridge Addiction Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BLUE RIDGE ADDICTION RECOVERY

Practice address

381 Deerfield Rd
Suite C
Boone, NC 28607-5009

Phone

(828) 263-8228

Fax

(828) 263-8228

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By 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

Dr. Juan Carlos Devirgiliis, M.D.NPI 1053403246

Title

Medical Director

Phone

(828) 263-8228

Specialties & licenses 1

Addresses

Locations

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.

• Juan Carlos De Virgiliis, MD

  • Family Medicine Physician
  • Boone, NC
  • NPI 1053403246
  Authorized official Same address or phone

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1356593420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 DEERFIELD RD",
            "address_2": "SUITE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075009",
            "telephone_number": "828-263-8228",
            "fax_number": "828-263-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 DEERFIELD RD",
            "address_2": "SUITE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075009",
            "telephone_number": "828-263-8228",
            "fax_number": "828-263-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE ADDICTION RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "DEVIRGILIIS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "828-263-8228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larke Alexandria Blanton
• Susan Dawn Blevins, LCSW
• Anna Bloemsma
• Blue Haven Counseling Services, P.a.
• Blue Heron Counseling, PLLC
• Blue Ridge Allergy and Asthma, PLLC
• Blue Ridge Ear, Nose and Throat, Inc.
• Blue Ridge Expressive Arts, Inc.
• Blue Ridge Hearing Center, LLC
• Blue Ridge Home Care

• Substance Use Disorder Rehabilitation Clinic/Center in Boone, NC
• Providers in Boone, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.