NPIMap

Organization Active NPI

Henderson County Hospital Corporation

Doing business as Pardee BlueMD 277 North Broad Street Suite 1

  • Federally Qualified Health Center (FQHC)
  • Brevard, NC
National Provider Identifier
1508734542
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HENDERSON COUNTY HOSPITAL CORPORATION
Doing business as
Pardee BlueMD 277 North Broad Street Suite 1
Practice address
277 N Broad St Ste 1
Brevard, NC 28712-3347
Phone
(828) 435-8400
Fax
(828) 435-8401
NPI assigned
Oct 29, 2025
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Mr. Michael Lynn Sunday Jr.
Title
Cfo, VP of Finance
Phone
(828) 696-1175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

277 N Broad St Ste 1
Brevard, NC 28712-3347

Mailing address

5221 Paramount Pkwy Ste 440
Morrisville, NC 27560-5491
Phone (984) 974-1190

Other names 1

  • Pardee BlueMD 277 North Broad Street Suite 1 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260506000412 NC Part A Provider - Federally Qualified Health Center (FQHC) 8123938115 Practice locations: Brevard, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508734542. Details of each certification follow.

Federally qualified health center certification: CCN B61091

Legal name
HENDERSON COUNTY HOSPITAL CORPORATION
Doing business as
PARDEE BLUEMD 277 NORTH BROAD STREET SUITE 1
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 22, 2026
Last certification
Apr 22, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
277 N Broad St
Ste 1
Brevard, NC 28712-3347

Other NPIs with the same Medicare PAC ID 19

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

View all 19

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2340572Pardee Bluemd277 North Broad St Suite 1, Brevard, NC 28712Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Pardee Family Medicine Associates-Bat Cave49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • County of Henderson

    dba Henderson County Department of Public Health

    • Public Health or Welfare Agency
    • Hendersonville, NC
    • NPI 1902957954

    Member Of

    NPD member

Locations

277 N Broad St
Ste 1
Brevard, NC 28712
Phone (828) 435-8400

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrea Vivian Bolanos Padilla Individual Corporate DirectorBoard Member Apr 18, 2018
Erik a Emaus Individual Corporate DirectorBoard Member Jul 1, 2025
John Gould Individual Corporate DirectorBoard Member Apr 19, 2017
Hyatt James Chandler Individual Corporate DirectorBoard Member Jul 1, 2018
Richard W Hudspeth Individual Corporate DirectorBoard Member Oct 20, 2022
Marilyn Allison Gordon Individual Corporate DirectorBoard Member Oct 1, 2022
James Stevens Brissie Individual Corporate DirectorBoard Member Nov 1, 2022
County of Henderson Organization, Hendersonville, NC 5% Or Greater Direct Ownership Interest Apr 24, 1998 100%
University of North Carolina Health Care System Organization, Morrisville, NC Non-profit Operational/Managerial Control Jun 22, 2011 100%
Hubbard Thomas Thompson Individual Corporate DirectorBoard Member Apr 18, 2018
Suzanne Johnna Reed Individual Corporate OfficerChief Administrative Officer Mar 14, 2016
Laura Ward Individual W-2 Managing EmployeeDirector of Practice Operations Feb 1, 2009
Maurean Yates Burritt Adams Individual Corporate DirectorBoard Member Jul 1, 2025
Maurice Lamont Jones Individual Corporate DirectorBoard Member Jul 1, 2025
Michael Lynn Sunday Individual Corporate OfficerChief Financial Officer, Vice Pres Sep 1, 2022
Orr Tamela Albrecht Individual Corporate DirectorBoard Member Aug 16, 2016
Gregory S McCarty Individual Corporate OfficerChief Medical Officer, VP Medical a Jan 1, 2022
Carla Jayne Icenhower Individual Corporate DirectorBoard Member Jul 1, 2025

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pardee Home CareFlat Rock, NC, CCN 347028 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 24, 1998
Apr 24, 1998

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 44

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1508734542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 440",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491",
            "telephone_number": "984-974-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 N BROAD ST STE 1",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123347",
            "telephone_number": "828-435-8400",
            "fax_number": "828-435-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON COUNTY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "SUNDAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO, VP OF FINANCE",
        "authorized_official_telephone_number": "828-696-1175",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pardee BlueMD 277 North Broad Street Suite 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brevard, NC

Sources for this page

Verify at the official NPI Registry.