BLUE RIDGE PEDIATRICS LLC – NPI #1457324907
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Health Care Provider Taxonomy Code for Pediatrics

BLUE RIDGE PEDIATRICS LLC is a provider located in SENECA, SC. NPPES has assigned the NPI number 1457324907 to BLUE RIDGE PEDIATRICS LLC on February 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 15 years ago on Jan 25, 2011. 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 PEDIATRICS LLC below.

NPI Profile for
BLUE RIDGE PEDIATRICS LLC

NPI Number
1457324907
Enumeration Date

(more than 20 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 PEDIATRICS LLC
Primary location
457-B HIGHWAY 123 BYPASS
SENECA, SC 29678
Phone: (864) 888-4464 Fax: (864) 888-4462
Mailing address
457B HIGHWAY 123
SENECA, SC 29678-0842
Phone: (864) 888-4464 Fax: (864) 888-4462
Organization Subpart
No
Authorized Official
CAREY GULLY
OWNER/PHYSICIAN
Phone: (864) 888-4464
Updated
Identifiers

Identifiers for BLUE RIDGE PEDIATRICS LLC

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.

DescriptionIssuerStateIdentifier
MEDICAIDSCRHC195
MEDICAIDSCGP1060
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.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)		 SC 101794

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.