Blue Ridge Dermatology Associates

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BLUE RIDGE DERMATOLOGY ASSOCIATES

Practice address

4225 Macon Pond Rd Ste 300
Raleigh, NC 27607-6320

Phone

(919) 781-1050

Fax

(919) 510-5090

NPI assigned

Apr 5, 2006

Last updated

Jan 7, 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

Lynda A Amsden

Title

Credentialing Coordinator

Phone

(919) 781-1050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 24

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.

• Carrie Deener Alspaugh, M.D.

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1114911401
  Medicare reassignment Care Compare group NPD
• Shelley Cathcart, M.D.

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1679774269
  Medicare reassignment Care Compare group NPD
• Timothy Corcoran Flynn, M.D.

  • MOHS-Micrographic Surgery Physician
  • Cary, NC
  • NPI 1154302610

  Dermatology

  Medicare reassignment Care Compare group NPD
• Jayashri Ghate, MD

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1245224542
  Medicare reassignment Care Compare group NPD
• Nikita Sara Goel, M.D.

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1972981991
  Medicare reassignment Care Compare group NPD
• Kendall S Hash, MD

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1154302826
  Medicare reassignment Care Compare group NPD
• Michele Lynn Lokitz, M.D.

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1366651952
  Medicare reassignment Care Compare group NPD
• Jocelyn Mendes

  • Dermatology Physician
  • Chapel Hill, NC
  • NPI 1124657655
  Medicare reassignment Care Compare group NPD
• Lavanya V Nagaraj, M.D.

  • Specialist
  • Raleigh, NC
  • NPI 1922074400
  Medicare reassignment Care Compare group NPD
• Katherine Doerr O'Rourke, M.D.

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1518951821
  Medicare reassignment Care Compare group NPD
• Lindsay Paige Osborn, MD

  • MOHS-Micrographic Surgery Physician
  • Raleigh, NC
  • NPI 1548720345
  Medicare reassignment Care Compare group NPD
• Douglas Atmatzidis, MD

  • Dermatology Physician
  • Morristown, NJ
  • NPI 1235634767

  NC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1770545550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 MACON POND RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076320",
            "telephone_number": "919-781-1050",
            "fax_number": "919-510-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 MACON POND RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076320",
            "telephone_number": "919-781-1050",
            "fax_number": "919-510-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "AMSDEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "919-781-1050"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Jay ABA NC LLC
• Blue Monkey Counseling, PLLC
• Blue Orchid Medical Transit LLC
• Blue Ram Home Care, LLC
• Blue Ridge Day Surgery Center, LP (Blue Ridge Day Surgery Center)
• Blue Ridge Family Physicians, PLLC
• Blue Ridge Medical Group PA
• Blue Ridge OB/GYN Associates PLLC
• Blue Ridge of Raleigh LLC (Blue Ridge Health Care Center)
• Blue Ridge of Raleigh, LLC (Blue Ridge Health Care Center)

• Dermatology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.