Blue Ridge Dermatology

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6730 Issued in GA

Legal business name

BLUE RIDGE DERMATOLOGY

Practice address

101 Riverstone Vis
Ste 215
Blue Ridge, GA 30513-6648

Phone

(706) 946-4227

NPI assigned

Dec 9, 2015

Last updated

Dec 9, 2015By 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

Frances Lovingood

Title

PM

Phone

(706) 946-4227

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1972978401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "STE 215",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-946-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVERSTONE VIS",
            "address_2": "STE 215",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136648",
            "telephone_number": "706-946-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "LOVINGOOD",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "PM",
        "authorized_official_telephone_number": "706-946-4227"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "6730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Brynn Blake, RBT
• Blue Ridge Anesthesia Associates, Inc
• Blue Ridge Chiropractic and Life Center
• Blue Ridge Concierge Medicine LLC
• Blue Ridge Dermatology
• Blue Ridge Georgia Hospital Company LLC (Blue Ridge Rural Health Clinic)
• Blue Ridge Georgia Hospital Company LLC (Fannin Regional Hospital)
• Blue Ridge Georgia Hospital Company LLC (Blue Ridge Medical Center)
• Blue Ridge Health Care Center, Inc. (United Community Services - Blue Ridge)
• Blue Ridge Mountain Ophthalmology LLC

• Medical Physician Assistant in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.