Blue Ridge Family Medical Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUE RIDGE FAMILY MEDICAL PRACTICE

Practice address

1140 Tusculum Blvd
Greeneville, TN 37745-4039

Phone

(423) 525-5462

Fax

(423) 525-5232

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Leslie W Foshie, FNP-BC, NP-CNPI 1386015931

Title

FNP

Phone

(423) 470-0979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie W Foshie, FNP

  • Family Nurse Practitioner
  • Greeneville, TN
  • NPI 1386015931

  Family Medicine, TN

  Medicare reassignment NPD Authorized official
• Crystal Shanelle Dyer, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Rogersville, TN
  • NPI 1841485018
  NPD (past)
• Jo Ann N Bolli, M.D.

  • Gynecology Physician
  • Clinton, KY
  • NPI 1134198526
  NPD (past)

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1508560723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454039",
            "telephone_number": "423-525-5462",
            "fax_number": "423-525-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454039",
            "telephone_number": "423-525-5462",
            "fax_number": "423-525-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE FAMILY MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "FOSHIE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "423-470-0979",
        "authorized_official_credential": "FNP-BC, NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Thomas Birdwell
• Virginia A Bishop, LD
• Carol C Black, SPECIALIST
• Allie Blackwell, RN, FNP-BC
• BLC Wellington - Greeneville TN, LLC
• Blue Ridge Medical Management C Orporation
• Blue Ridge Medical Management Corporation
• Blue Ridge Medical Management Corporation
• Blue Ridge Medical Management Corporation
• Blue Ridge Medical Management Corporation

• All providers in Greeneville, TN
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.