Blue Ridge Healthcare Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Doing business as

Lenoir Family Medicine

Practice address

1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645-6461

Phone

(828) 991-4660

Fax

(828) 991-4659

NPI assigned

Sep 7, 2010

Last updated

Mar 12, 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

• Lenoir Family Medicine Doing business as

Electronic endpoints 1

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 6

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.

• Ashley Beck Koerner, FNP-BC

  • Family Nurse Practitioner
  • Lenoir, NC
  • NPI 1558947457
  NPD
• Arlene Mathew Maliekal, DO

  • Family Medicine Physician
  • Lenoir, NC
  • NPI 1710449889
  NPD
• Gerald Wayne Mank III, M.D

  • Gastroenterology Physician
  • Morganton, NC
  • NPI 1821309592
  NPD
• Evan Jacob Pogorelec, DO

  • Family Medicine Physician
  • Lenoir, NC
  • NPI 1295298024
  NPD
• Deanna Renee Reary-Ledford

  • Family Nurse Practitioner
  • North Wilkesboro, NC
  • NPI 1497391809
  NPD
• Hayden White

  • Family Medicine Physician
  • Lenoir, NC
  • NPI 1992445894
  NPD

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1891002374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HICKORY BLVD SW STE 102",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286456461",
            "telephone_number": "828-991-4660",
            "fax_number": "828-991-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HICKORY BLVD SW STE 102",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286456461",
            "telephone_number": "828-991-4660",
            "fax_number": "828-991-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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": "Lenoir Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lenoir Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marianna S. Birdsong, DPT, PT
• Bloom Counseling Services, PLLC
• Blue Ridge Healthcare Medical Group, Inc (Blue Ridge Multispecialty Clinic - Lenoir)
• Blue Ridge Healthcare Medical Group, Inc. (Cajah's Mountain Family Medical Care Center)
• Blue Ridge Healthcare Medical Group, Inc. (Cajah's Mountain Medical Associates)
• Erica Loren Board, FNP
• James Bonner, PA-C
• Boone Drugs Inc (Medical Arts Pharmacy)
• Jamie Millicent Boone, FNP-C
• Alex Sergio Borrelli, MD

• Family Medicine Physician in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.