Blue Ridge Healthcare Medical Group Inc

Organization Active NPI Emergency Medicine Physician · Morganton, NC

NPI 1811244726 · NPPES record last updated Apr 9, 2025

Key facts

NPI
1811244726
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
Practice address
695 W Fleming Dr
Morganton, NC 28655-4450
Phone
(828) 580-3278
Fax
(828) 580-3279
NPI assigned
Aug 9, 2012
Organization subpart
No

Authorized official

Name
Patricia Moll
Title
SVP-Cfo
Phone
(828) 580-5003

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2070418Unc Health Blue Ridge Urgent Care
695 W Fleming Drive, Morganton, NC 28655
Certificate of waiverDec 15, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Locations

695 W Fleming Dr
Morganton, NC 28655
Phone (828) 580-3278

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207P00000X Yes
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

695 W Fleming Dr
Morganton, NC 28655-4450

Mailing address

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

Other names

  • Blue Ridge Urgent Care Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Other providers in Morganton, NC

All providers in Morganton, NC · Emergency Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.