BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC (NPI# 1952626384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952626384 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC |
| Other Organization Name | TABLE ROCK FAMILY MEDICINE |
| Practice Address |
301 Linville Street Glen Alpine NC 28628 |
| Mailing Address |
Po Box 837 Glen Alpine NC 28628-0837 |
| Practice Telephone | 8285842481 |
| Practice Fax Number | 8285848371 |
| Mailing Telephone | 8285842481 |
| Mailing Fax Number | 8285848371 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-06-18 |
| Authorized Official Name | ROBERT G FRITTS (SVP CFO) |
| Authorized Official Telephone | 8285805545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC LLICENSE | 2006-01695 | 01 |
| Other Name | Type Code |
|---|---|
| Table Rock Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326450743 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 2293 Sugar Hill Rd, Suite A, Marion, NC 28752-7787 | 2014-05-21 |
| 1831501261 | Blue Ridge Healthcare Medical Group, Inc | Urology | 2209 S Sterling St Ste 530, Morganton, NC 28655-4093 | 2014-05-20 |
| 1699197012 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 720 Malcolm Blvd, Suite 200, Connelly Springs, NC 28612-7920 | 2014-01-21 |
| 1427482926 | Blue Ridge Healthcare Medical Group, Inc | Obstetrics & Gynecology | 721 D Malcolm Blvd., Rutherford College, NC 28671 | 2013-09-03 |
| 1568725281 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 2209 S Sterling St, Suite 330, Morganton, NC 28655-4091 | 2012-06-18 |
| 1023376829 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 1208 Hickory Blvd Sw Ste 102, Lenoir, NC 28645-6461 | 2012-04-30 |
| 1932466521 | Blue Ridge Healthcare Medical Group, Inc | Family Medicine | 115 Foothills Dr, Morganton, NC 28655-5152 | 2012-04-19 |
| 1194780411 | Blue Ridge Healthcare Medical Group, Inc | Pediatrics | 1860 Sugar Hill Rd, Marion, NC 28752-5565 | 2006-04-19 |
| Street Address |
301 LINVILLE STREET |
| City | GLEN ALPINE |
| State | NC |
| Zip Code | 28628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558328781 | Table Rock Family Medicine | Family Medicine | 301 Linville Street, Glen Alpine, NC 28628 | 2006-05-01 |
| 1720492150 | Jean Tessneer | Nurse Practitioner | 301 Linville Street, Glen Alpine, NC 28628 | 2014-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417079054 | Dana M Taylor | Assisted Living Facility | 405 Linville Street, Morganton, NC 28628 | 2007-04-04 |
| 1437291317 | Dana Mccurry | Assisted Living Facility | 405 Linville St, Glen Alpine, NC 28628 | 2007-02-13 |
| 1932240009 | Clinic Drug Store, Inc | Pharmacist | 106 Linville Street, Glen Alpine, NC 28628-0836 | 2007-02-09 |
| 1083639017 | John Bennett | Pharmacist | 106 Linville, Glen Alpine, NC 28628-0836 | 2006-07-12 |
| 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 |
|---|---|---|---|---|
| 1558328781 | Table Rock Family Medicine | Family Medicine | 301 Linville Street, Glen Alpine, NC 28628 | 2006-05-01 |
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|---|---|---|---|---|
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| 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 | GLEN ALPINE |
| Zip Code | 28628 |
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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.