Active NPI
Blue Ridge Healthcare Medical Group, Inc.
Doing business as Blue Ridge Infectious Disease
- Infectious Disease Physician
- Morganton, NC
National Provider Identifier
1811344476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
- Doing business as
- Blue Ridge Infectious Disease
- Practice address
- 117 Foothills Dr
Morganton, NC 28655-5152 - Phone
- (828) 580-5705
- Fax
- (828) 580-8033
- NPI assigned
- May 24, 2016
- Last updated
- Feb 13, 2025
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
117 Foothills Dr
Morganton, NC 28655-5152
Mailing address
117 Foothills Dr
Morganton, NC 28655-5152
Phone (828) 580-5705
Other names 1
- Blue Ridge Infectious Disease
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| 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
National Provider DirectoryLocations
111 Foothills Dr
Ste B
Morganton, NC 28655
Phone (828) 437-8158
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Dallas, NC
- NPI 1760157911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1811344476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 FOOTHILLS DR",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286555152",
"telephone_number": "828-580-5705",
"fax_number": "828-580-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 FOOTHILLS DR",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286555152",
"telephone_number": "828-580-5705",
"fax_number": "828-580-8033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-24",
"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": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"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 Infectious Disease",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Blue Ridge Infectious Disease",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morganton, NC
- 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. (Blue Ridge Medcial Group - Neurology)
- 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. (Grace Psychiatric Associates)
- Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Digestive Health)
- Blue Ridge Healthcare Medical Group, Inc. (BRM Ncssm Outreach Morganton)
- Blue Ridge Healthcare Medical Group, Inc. (Mountain Orthopaedics)
- Blue Ridge Healthcare Medical Group, Inc. (Blue Ridge Cardiology-Morganton)
Sources for this page
- 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.