Blue Ridge Healthcare Medical Group, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Doing business as

Carolina Digestive Care

Practice address

150 August St
Ste 100
Morganton, NC 28655

Phone

(828) 580-1170

NPI assigned

Feb 10, 2016

Last updated

Oct 11, 2024By 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

Patricia Moll

Title

Cfo

Phone

(828) 580-5003

Specialties & licenses 1

Addresses

Other names 1

• Carolina Digestive Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Blue Ridge Healthcare Medical Group Inc

  dba Blue Ridge Radiology

  • Diagnostic Radiology Physician
  • Hickory, NC
  • NPI 1578842035

  9436159712

  Same PAC ID
• Blue Ridge Healthcare Medical Group Inc

  dba BRHC Radiology Practice

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1639244478

  9436159712

  Same PAC ID
• Blue Ridge Healthcare Medical Group, Inc.

  dba Women's Health Group-Valdese

  • Obstetrics & Gynecology Physician
  • Connelly Springs, NC
  • NPI 1467993931

  9436159712

  Same PAC ID

Listed as

Carolina Digestive CareCCN 34C0001189

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1376901900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107B MICA AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558135",
            "telephone_number": "828-580-1172",
            "fax_number": "828-433-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AUGUST ST",
            "address_2": "STE 100",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "28655",
            "telephone_number": "828-580-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "MOLL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "828-580-5003"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Digestive Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina Digestive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Ridge Healthcare Medical Group, Inc. (Mountain Valley Academic Health Center)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Surgery Valdese)
• Blue Ridge Healthcare Medical Group, Inc. (Women's HealthGroup)
• Blue Ridge Healthcare Medical Group, Inc. (Ridgeview Family Medicine)
• Blue Ridge Healthcare Medical Group, Inc. (Morganton Internal Medicine)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Pulmonary & Sleep Center)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Geriatrics)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Surgical Specialists)
• Blue Ridge Healthcare Medical Group, Inc. (Jayendrakumar I Patel)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Podiatry)

• Ambulatory Surgical Clinic/Center in Morganton, NC
• Providers in Morganton, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.