Blue Ridge Family Practice & Sports Medicine, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9500655 Issued in NC

Legal business name

BLUE RIDGE FAMILY PRACTICE & SPORTS MEDICINE, P.A.

Practice address

942 Tunnel Rd
Asheville, NC 28805-2025

Phone

(828) 298-7972

Fax

(828) 298-6637

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Jerome Marnock, M.D.

Title

President

Phone

(828) 298-7972

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629138946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 TUNNEL RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052025",
            "telephone_number": "828-298-7972",
            "fax_number": "828-298-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 TUNNEL RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052025",
            "telephone_number": "828-298-7972",
            "fax_number": "828-298-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE FAMILY PRACTICE & SPORTS MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARNOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-298-7972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9500655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC GROUP",
            "identifier": "0101Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC INDIVIDUAL",
            "identifier": "54940",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790101Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8954940",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Mountain Child & Adolescent Development Center
• Blue Ridge Chiropractic, Inc.
• Blue Ridge Cognitive Behavioral Therapy Center PLLC
• Blue Ridge Community Health Services Inc.
• Blue Ridge Community Health Services, Inc.
• Blue Ridge Headache Center
• Blue Ridge Home Care
• Blue Ridge Home Care, Inc.
• Blue Ridge Laboratories LLC
• Blue Ridge Neuropsychological Associates, P.a.

• Primary Care Clinic/Center in Asheville, NC
• Providers in Asheville, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.