Active NPI
Blue Ridge Healthcare Medical Group, Inc.
Doing business as Cajah's Mountain Medical Associates
- Family Medicine Physician
- Lenoir, NC
National Provider Identifier
1588050215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
- Doing business as
- Cajah's Mountain Medical Associates
- Practice address
- 1766 Connelly Springs Rd
Lenoir, NC 28645-7827 - Phone
- (828) 728-8224
- Fax
- (828) 728-1690
- NPI assigned
- Apr 9, 2015
- Last updated
- Mar 12, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1766 Connelly Springs Rd
Lenoir, NC 28645-7827
Mailing address
1766 Connelly Springs Rd
Lenoir, NC 28645-7827
Phone (828) 728-8224
Other names 1
- Cajah's Mountain Medical Associates
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 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… |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0860475 | Cajah's Mountain Medical Associates | Compliance | Jul 23, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Nurse Practitioner
- Morganton, NC
- NPI 1821685991
-
- Family Nurse Practitioner
- Lenoir, NC
- NPI 1952662256
-
- Family Medicine Physician
- Connelly Springs, NC
- NPI 1376586909
-
- Hospitalist Physician
- Rutherfordton, NC
- NPI 1205468956
-
- Family Medicine Physician
- Hudson, NC
- NPI 1821385659
-
- Family Nurse Practitioner
- Gaffney, SC
- NPI 1528719747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741737600000",
"number": "1588050215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1766 CONNELLY SPRINGS RD",
"city": "LENOIR",
"state": "NC",
"postal_code": "286457827",
"telephone_number": "828-728-8224",
"fax_number": "828-728-1690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1766 CONNELLY SPRINGS RD",
"city": "LENOIR",
"state": "NC",
"postal_code": "286457827",
"telephone_number": "828-728-8224",
"fax_number": "828-728-1690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-09",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"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": "207Q00000X",
"taxonomy_group": "",
"desc": "Family 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": "Cajah's Mountain Medical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lenoir, NC
- Bionic Prosthetics and Orthotics Group LLC
- Marianna S. Birdsong, DPT, PT
- Bloom Counseling Services, PLLC
- Blue Ridge Healthcare Medical Group, Inc (Blue Ridge Multispecialty Clinic - Lenoir)
- Blue Ridge Healthcare Medical Group, Inc. (Cajah's Mountain Family Medical Care Center)
- Blue Ridge Healthcare Medical Group, Inc. (Lenoir Family Medicine)
- Erica Loren Board, FNP
- James Bonner, PA-C
- Boone Drugs Inc (Medical Arts Pharmacy)
- Jamie Millicent Boone, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.