Blue Ridge Healthcare Medical Group, Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Doing business as

Blue Ridge Medcial Group - Neurology

Practice address

2209 S Sterling St Ste 330
Morganton, NC 28655-4093

Phone

(828) 580-8100

Fax

(828) 580-8101

NPI assigned

May 25, 2011

Last updated

Feb 13, 2025By 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

Patricia Moll

Title

SVP-Cfo

Phone

(828) 580-5003

Specialties & licenses 1

Addresses

Other names 1

• Blue Ridge Medcial Group - Neurology Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 7

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.

• Philip M Dineen, AGACNP

  • Nurse Practitioner
  • Morganton, NC
  • NPI 1972974988
  NPD
• Diana Fernandez-Schmidt, MD

  • Neurology Physician
  • Hickory, NC
  • NPI 1801831177
  NPD
• Albert Richard Hinn Jr., MD

  • Neurology Physician
  • Chapel Hill, NC
  • NPI 1316018658
  NPD
• Suzette Maria Laroche, M.D.

  • Neurology Physician
  • Arden, NC
  • NPI 1134235138
  NPD
• Brandon Lee Waters, MD

  • Neurology Physician
  • Chapel Hill, NC
  • NPI 1336526565
  NPD
• Geetika Bajpai, MBBS, MD, DM

  • Neurology Physician
  • Houston, TX
  • NPI 1699314575
  NPD
• Lynn Cecilia Liu, MD

  • Neurology Physician
  • Rochester, NY
  • NPI 1376657726
  NPD

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1730472671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 330",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554093",
            "telephone_number": "828-580-8100",
            "fax_number": "828-580-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 330",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554093",
            "telephone_number": "828-580-8100",
            "fax_number": "828-580-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "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": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "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 Medcial Group - Neurology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ridge Medcial Group - Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Surgical Specialists)
• Blue Ridge Healthcare Medical Group, Inc. (Jayendrakumar I Patel)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Podiatry)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Transitional Care Clinic)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Nephrology)
• Blue Ridge Healthcare Medical Group, Inc. (BRMG Operations Mobile Unit)
• Blue Ridge Healthcare Medical Group, Inc. (Evans Obstetrics & Gynecology)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Infectious Disease)
• Blue Ridge Healthcare Medical Group, Inc. (Grace Psychiatric Associates)
• Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Digestive Health)

• Neurology Physician in Morganton, NC
• Providers in Morganton, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.