Blue Ridge Mountain Ophthalmology LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

BLUE RIDGE MOUNTAIN OPHTHALMOLOGY LLC

Practice address

266 Orvin Lance Dr Ste 5
Blue Ridge, GA 30513-8054

Phone

(478) 279-6092

NPI assigned

Mar 25, 2019

Last updated

Mar 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan Patton, MDNPI 1659754398

Title

Owner

Phone

(478) 279-6092

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

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.

• Jordan Patton, M.D.

  • Ophthalmology Physician
  • Blue Ridge, GA
  • NPI 1659754398
  Medicare reassignment Authorized official
• Scott Cooper, PA-C

  • Physician Assistant
  • Blue Ridge, GA
  • NPI 1184142879
  Medicare reassignment NPD

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1689135576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 ORVIN LANCE DR STE 5",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305138054",
            "telephone_number": "478-279-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 ORVIN LANCE DR STE 5",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305138054",
            "telephone_number": "478-279-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE MOUNTAIN OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-279-6092",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Dermatology
• Blue Ridge Georgia Hospital Company LLC (Blue Ridge Rural Health Clinic)
• Blue Ridge Georgia Hospital Company LLC (Fannin Regional Hospital)
• Blue Ridge Georgia Hospital Company LLC (Blue Ridge Medical Center)
• Blue Ridge Health Care Center, Inc. (United Community Services - Blue Ridge)
• Blue Ridge Pharmacy
• Blue Ridge Psychiatric Consultants
• Blue Ridge Surgical, Inc
• Blue Skies ABA, Inc.
• Kayla Renee Boggs, FNP-C

• Ophthalmologic Surgery Clinic/Center in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Ophthalmologic Surgery Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.