Blue Ridge Healthcare Medical Group, Inc.
Organization Active NPI Ambulatory Surgical Clinic/Center · Morganton, NC
NPI 1376901900 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1376901900
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
- Practice address
- 150 August St
Ste 100
Morganton, NC 28655 - Phone
- (828) 580-1170
- NPI assigned
- Feb 10, 2016
- Organization subpart
- No
Authorized official
- Name
- Patricia Moll
- Title
- Cfo
- Phone
- (828) 580-5003
Other NPIs with the same Medicare PAC ID 3
Practitioners 222
-
David S Abernathy, M. D.
-
Natalie Speagle Abernathy, FNP-C
-
Kadry R Allaboun, MD
-
Patricia Amoako, MD
-
Ray Mills Antley Jr., M.D.
-
Shivashanker Balasingham, M.D.
-
Katie E Barthel, NP
-
Daniel Roy Bauer, M.D.
-
Michael Brian Bauer, M.D.
-
Punit Baveja, MD
-
Peter Jeffrey Bechtel, M.D.
-
Jennifer Scott Best, P.A.
-
Harpreet Singh Bhalla, M.D.
-
Mark Richard Brady, M.D.
-
Jonathan Jordan Brisson, D.O.
-
Andrea Brooks, FNP-C
-
Angela J Bryan, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Carolina Digestive Care
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2029680 | Blue Ridge Medical Group | Certificate of waiver | Sep 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) 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… |
| O20170525002724 | NC | Part B Supplier - Ambulatory Surgical Center | 9436159712 | Practice locations: Morganton, NC |
National Provider Directory
Locations
150 August St
#100
Morganton, NC 28655
Phone (828) 580-1170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
150 August St
Ste 100
Morganton, NC 28655
Mailing address
107B Mica Ave
Morganton, NC 28655-8135
Phone (828) 580-1172
Other names
- Carolina Digestive Care
Other providers in Morganton, NC
- 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.
- Blue Ridge Healthcare Medical Group, Inc.
- Blue Ridge Healthcare Medical Group, Inc.
All providers in Morganton, NC · Ambulatory Surgical Clinic/Center 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 Oct 11, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.