Blue Ridge Health LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

BLUE RIDGE HEALTH LLC

Doing business as

Blue Ridge ENT Head Neck Skin Cancer
Blue Ridge Health

Practice address

116 Clarkesville PLZ
Clarkesville, GA 30523-6216

Phone

(503) 334-1856

NPI assigned

Jun 23, 2023

Last updated

Jan 30, 2024By 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

Ms. Trushna Rao

Title

Contracted Managing Employee

Phone

(503) 334-1856

Specialties & licenses 1

Addresses

Other names 2

• Blue Ridge ENT Head Neck Skin Cancer Doing business as
• Blue Ridge Health Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Shrinath Kalaseshwar Nadig, MD

  • Otolaryngology Physician
  • Clarkesville, GA
  • NPI 1720009657
  Medicare reassignment NPD

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1982380036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 CLARKS BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063722",
            "telephone_number": "503-334-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CLARKESVILLE PLZ",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305236216",
            "telephone_number": "503-334-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "TRUSHNA",
        "authorized_official_title_or_position": "CONTRACTED MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "503-334-1856",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge ENT Head Neck Skin Cancer",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Ridge Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Appalachian Psychological and Behavioral Services LLC
• Stuart Alva Babcock, MD
• Caroline Baggott
• Mark Alan Beach, LPC
• Christy Lee Bivins
• Regina Ann Boling, D.D.S
• O Anita Brackett, LPC006323
• Steve Butler, LPC
• Erin Faith Byers
• Rebecca Lea Calvert Lehmicke

• Otolaryngology Physician in Clarkesville, GA
• Providers in Clarkesville, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.

Verify at the official NPI Registry.