BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. – NPI #1245486067
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. is a provider located in MORGANTON, NC. NPPES has assigned the NPI number 1245486067 to BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. on August 12, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Mar 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. below.

NPI Profile for
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

NPI Number
1245486067
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Primary location
2209 S STERLING ST
SUITE 400
MORGANTON, NC 28655-4091
Phone: (828) 580-4661 Fax: (828) 580-4698
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PATRICIA MOLL
SVP-CFO
Phone: (828) 580-5003
Updated
Certification Date
Mar 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherLICENSENC39990
otherLICENSENC121106
otherLICENSENC23421
otherLICENSENC55709
otherLICENSENC9800595
otherLICENSENC100615
otherLICENSENC35513
otherLICENSENC200400734
medicaidNC5950522
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669