Blue Ridge Healthcare Medical Group, Inc.
Organization Active NPI Family Medicine Physician · Nebo, NC
NPI 1710211560 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1710211560
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
- Practice address
- 5920 US Highway 70 E
Nebo, NC 28761-9565 - Phone
- (828) 652-8727
- Fax
- (828) 652-8793
- NPI assigned
- Sep 28, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Authorized official
- Name
- Patricia Moll
- Title
- SVP-Cfo
- Phone
- (828) 580-5003
Practitioners 47
-
Pamela Kay Bartels, M.D.
-
Angela J Bryan, M.D.
-
Todd Eric Cook, PA-C
-
Philip M Dineen, AGACNP
-
Amy Hemstreet Evans, FNP,CNM
-
Nancy Cross Goins, ANP-BC
-
Kedron M Hendley, FNP
-
Adam Joseph Kinninger, D.O.
-
Michelle Grant Mills, DNP, RN, NP-C
-
Lisa L Mull, FNP
-
Melanie Markham Orange, M.D.
-
Ruth B Raffield, F.N.P.
-
Mary Kathleen Robinson, F.N.P.
-
Courtney Adair Setzer, FNP-C
-
Jean Tessneer, FNP-C
-
Leah Yunsung Ahn, MD
-
Matthew David Alvin, MD, MBA, MS, MA
-
Sean David Burn, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0947561 | Blue Ridge Medical Group, Inc Dba | Compliance | Oct 5, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| 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… |
National Provider Directory
- Part of
- Blue Ridge Hlthcare Med GRP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
5920 US Highway 70 E
Nebo, NC 28761-9565
Mailing address
5920 US Highway 70 E
Nebo, NC 28761-9565
Phone (828) 659-9703
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02082 | Other | NC | BLUE CROSS BLUE SHIELD OF NC |
| 34D0947561 | Other | NC | CLIA |
| 690168L | Medicaid | NC |
Other names
- McDowell Medical Associates, PA
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Nebo, NC
- Diana Amaya Ramirez
- Thomas Temple Atkinson Sr.
- Bennick, Inc.
- Bennick, Inc.
- Berryhill Family Care LLC
- William Thomas Bridges Jr.
- Ruth Byerly
- Carolina Regional Homecare
- Cedarbrook Residential Center, Inc.
- Danica Margaret Ciaramita
All providers in Nebo, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.