NPIMap

Organization Active NPI

Blue Ridge E N T & P S Inc.

  • Otolaryngology Physician
  • Lynchburg, VA
National Provider Identifier
1376551044
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
BLUE RIDGE E N T & P S INC.
Practice address
2321 Atherholt Rd
Lynchburg, VA 24501-2113
Phone
(434) 947-3993
Fax
(434) 947-3992
NPI assigned
Aug 4, 2006
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Mrs. Angie Tyree
Title
Practice Administrator
Phone
(434) 947-3993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2321 Atherholt Rd
Lynchburg, VA 24501-2113

Mailing address

2321 Atherholt Rd
Lynchburg, VA 24501-2113
Phone (434) 947-3993

Other names 1

  • Feinman-Clark ENT & PS, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070524000425 VA Part B Supplier - Clinic/Group Practice 5698872778 Receives reassigned benefits from 17 practitioners
Practice locations: Lynchburg, VA

National Provider Directory

National Provider Directory

Locations

2319 Atherholt Rd
Lynchburg, VA 24501

2321 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 947-3993

2321 Atherholt Rd
Ste A
Lynchburg, VA 24501
Phone (434) 947-3993

2321 Atherholt Rd
Ste B
Lynchburg, VA 24501
Phone (434) 947-3993

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1376551044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012113",
            "telephone_number": "434-947-3993",
            "fax_number": "844-689-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012113",
            "telephone_number": "434-947-3993",
            "fax_number": "434-947-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE E N T & P S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "TYREE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "434-947-3993",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feinman-Clark ENT & PS, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.