NPIMap

Organization Active NPI

Blue Ridge Healthcare Medical Group, Inc.

Doing business as Blue Ridge Transitional Care Clinic

  • Internal Medicine Physician
  • Morganton, NC
National Provider Identifier
1578424685
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Doing business as
Blue Ridge Transitional Care Clinic
Practice address
111 Foothills Dr Ste a
Morganton, NC 28655-5123
Phone
(828) 580-3020
Fax
(828) 580-3021
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Patricia Moll
Title
SVP-Cfo
Phone
(828) 580-5003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

111 Foothills Dr Ste a
Morganton, NC 28655-5123

Mailing address

111 Foothills Dr Ste a
Morganton, NC 28655-5123
Phone (828) 580-3020

Other names 1

  • BLUE RIDGE TRANSITIONAL CARE CLINIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other COBIUS HEALTHCARE SOLUTIONS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

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
34D2338617Blue Ridge Transitional Care Clinic111 Foothills Drive, Suite a, Morganton, NC 28655Certificate of waiverFeb 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Blue Ridge Healthcare Medic36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Locations

2309 Santa Monica Blvd
Ste 108
Santa Monica, CA 90404

1600 Glenarm Pl
Denver, CO 80202

15954 Jackson Creek Pkwy
Monument, CO 80132

1901 Connelly Springs Rd
Lenoir, NC 28645
Phone (828) 726-0570

1135 N Main St
Marion, NC 28752
Phone (828) 442-0043

20 S Medical Ct
Marion, NC 28752
Phone (828) 580-1750

2293 Sugar Hill Rd
#C
Marion, NC 28752
Phone (828) 580-4661

348 Grace Corpening Dr
Marion, NC 28752
Phone (828) 580-6821

83 W Medical Ct
Marion, NC 28752
Phone (828) 559-2016

109 Foothills Dr
Morganton, NC 28655
Phone (828) 580-7000

111 Foothills Dr
Ste A
Morganton, NC 28655
Phone (828) 580-3020

117 Foothills Dr
Morganton, NC 28655
Phone (828) 437-0847

2201 S Sterling St
#200
Morganton, NC 28655
Phone (828) 580-7536

2203 S Sterling St
Ste 147
Morganton, NC 28655
Phone (828) 302-0680

2209 S Sterling St
Ste 300
Morganton, NC 28655
Phone (828) 580-4010

301 Linville St
Morganton, NC 28655
Phone (828) 580-1400

350 E Parker Rd
Ste 102
Morganton, NC 28655
Phone (828) 580-2700

Practitioners & affiliated clinicians

Practitioners 374

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 374

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1578424685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOOTHILLS DR STE A",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555123",
            "telephone_number": "828-580-3020",
            "fax_number": "828-580-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FOOTHILLS DR STE A",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555123",
            "telephone_number": "828-580-3020",
            "fax_number": "828-580-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "MOLL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "SVP-CFO",
        "authorized_official_telephone_number": "828-580-5003"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "COBIUS HEALTHCARE SOLUTIONS",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BLUE RIDGE TRANSITIONAL CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.