BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. (NPI# 1043618523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043618523 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. |
| Other Organization Name | VALDESE MEDICAL ASSOCIATES |
| Practice Address |
730 Malcolm Blvd Ste 150 Connelly Springs NC 28612-8079 |
| Practice Telephone | 8288744600 |
| Practice Fax Number | 8288748900 |
| Mailing Telephone | 8288744600 |
| Mailing Fax Number | 8288748900 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | ROBERT G FRITTS (SVP / CFO) |
| Authorized Official Telephone | 8285806554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICAID GROUP ID | 1043618523 | 01 |
| Other Name | Type Code |
|---|---|
| Valdese Medical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396017752 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 2293 Sugar Hill Rd, Suite B, Marion, NC 28752-7787 | 2012-02-01 |
| 1407188600 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 117-b Foothills Dr, Morganton, NC 28655 | 2010-02-12 |
| 1548497209 | Blue Ridge Healthcare Medical Group, Inc. | Obstetrics & Gynecology | 20 S Medical Ct, Marion, NC 28752-4972 | 2009-06-19 |
| 1083854251 | Blue Ridge Healthcare Medical Group, Inc. | Allergy & Immunology | 352-b East Parker Road, Morganton, NC 28655 | 2009-03-02 |
| 1275725996 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 111 Foothills Dr Ste B, Morganton, NC 28655-5123 | 2007-08-16 |
| 1639244478 | Blue Ridge Healthcare Medical Group, Inc. | Radiology | 2201 S. Sterling Street, Morganton, NC 28655 | 2006-11-21 |
| 1972683126 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 2209 S. Sterling Street, Suite 300, Morganton, NC 28655 | 2006-10-16 |
| 1780772715 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 730 Malcolm Blvd., Suite 230, Rutherford College, NC 28671 | 2006-10-11 |
| 1891884748 | Blue Ridge Healthcare Medical Group, Inc. | Psychiatry & Neurology | 2201 S. Sterling St., Morganton, NC 28655 | 2006-10-11 |
| 1235227257 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 1901 Connelly Springs Road, Lenoir, NC 28645 | 2006-10-11 |
| Street Address |
730 MALCOLM BLVD STE 150 |
| City | CONNELLY SPRINGS |
| State | NC |
| Zip Code | 28612-8079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383962 | Karen Cox Clark | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2005-08-16 |
| 1548724289 | Laura Susan Padgett | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2019-01-28 |
| 1437526175 | Bethany Craig Hollar | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 | 2015-08-28 |
| 1245657105 | Amanda Ford | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2014-03-27 |
| 1336407261 | Lauren Orlando Lippard | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2012-04-28 |
| 1750574935 | Jennifer Lynn Bennett Williams | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2007-08-22 |
| 1528276425 | Catherine A Galida | Neuromusculoskeletal Medicine & OMM | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2007-05-21 |
| 1710052535 | John Clements Betancourt | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 | 2006-11-21 |
| 1083713812 | Thomas E Meek | Neuromusculoskeletal Medicine & OMM | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992987713 | Alan Fowler Jacks | Surgery | 845 Malcolm Blvd., Connelly Springs, NC 28612 | 2007-12-04 |
| 1316995459 | Shelley A Mcclure | Obstetrics & Gynecology | 110 Hilltop St, Connelly Springs, NC 28612 | 2006-05-04 |
| 1346209293 | Ryan Nelson Richardson | Obstetrics & Gynecology | 110 Hilltop Street, Connelly Springs, NC 28612 | 2006-03-20 |
| 1407109309 | Shana C Proffitt | Nurse Practitioner | 845 Malcolm Blvd, Connelly Springs, NC 28612 | 2012-10-17 |
| 1326328881 | Despina Karavolos | Pharmacist | 210 Us Highway 70, Connelly Springs, NC 28612 | 2011-08-27 |
| 1962576181 | Gloria Marie Vodan | Advanced Practice Midwife | 110 Hilltop Street, Connelly Springs, NC 28612 | 2006-11-20 |
| 1568811784 | Elizabeth Deal Rowe | Speech-Language Pathologist | 3076 Icard School Road, Connelly Springs, NC 28612-3076 | 2016-06-08 |
| 1336394923 | Crystal Nmn Cha | Pharmacist | 3451 John Williams Rd, Connellys Springs, NC 28612-7338 | 2008-11-24 |
| 1255425427 | Carolina Health Care Center of Burke Limited Partnership | Nursing Facility/Intermediate Care Facility | 3647 Miller Bridge Rd, Connellys Springs, NC 28612-7347 | 2006-10-03 |
| 1528476058 | Christopher Hartman | Specialist/Technologist | 4946 Miller Bridge Rd, Connelly Springs, NC 28612-7359 | 2014-07-28 |
| Find all providers in zip 28612 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376586909 | Jackson Genant | Family Medicine | 730 Malcolm Blvd Ste 230, Connelly Springs, NC 28612-8079 | 2006-06-13 |
| 1689183972 | Cox Family Medicine | Family Medicine | 560 Malcolm Blvd, Connelly Springs, NC 28612-7918 | 2017-09-29 |
| 1245657105 | Amanda Ford | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2014-03-27 |
| 1336407261 | Lauren Orlando Lippard | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2012-04-28 |
| 1710052535 | John Clements Betancourt | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | CONNELLY SPRINGS |
| Zip Code | 28612 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.