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BLUE RIDGE INTEGRATIVE WELLNESS LLC
NPI 1083192595
Internal Medicine - Pulmonary Disease in Dryden, VA

Active since August 06, 2018CLIA 49D2339360 · Waiver
512 DRYDEN LOOP, DRYDEN, VA 24243(252) 832-1588(276) 246-1658 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Sep 14, 2020, Aug 13, 2020 and 7 more (10 updates tracked since 2018).

About Blue Ridge Integrative Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE RIDGE INTEGRATIVE WELLNESS LLC (NPI 1083192595), doing business as The Carson Clinic, is a healthcare organization registered as a pulmonary disease in Dryden, Virginia and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Rodney Terry, Project Director, as its authorized official.

NPPES Registry Identity

NPI1083192595
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameBLUE RIDGE INTEGRATIVE WELLNESS LLC
Location Address512 DRYDEN LOOPDryden, VA 24243
Mailing Address189 Dinsmore RdDryden, VA 24243-8378 · (276) 832-1588 · Fax (276) 246-1658
Phone(252) 832-1588
Fax(276) 246-1658
Organization SubpartNo
Authorized OfficialRodney TerryProject Director · (252) 452-6075
Enumeration DateAugust 6, 2018
Last NPPES UpdateNovember 12, 202510 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1083192595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
512 DRYDEN LOOP, Dryden, VA 24243
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Other Names 1

Doing Business AsThe Carson Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2339360

Blue Ridge Integrative Wellness LLC · Dryden, VA
Active · expires Feb 29, 2028
CLIA Number49D2339360
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorPatrick Hickey
Laboratory Phone(252) 452-6075
Laboratory LocationBlue Ridge Integrative Wellness LLC512 Dryden Loop, Suite 1, Dryden, VA 24243
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE RIDGE INTEGRATIVE WELLNESS LLC
General Practice
512 DRYDEN LOOP
DRYDEN, VA 24243
Lee County (941) 391-7261
BLUE RIDGE INTEGRATIVE WELLNESS LLC
Clinic/Center (Rural Health)
512 DRYDEN LOOP
DRYDEN, VA 24243
Lee County (276) 212-4325
DRYDEN ANCILLARY SERVICES, LLC
Clinic/Center (Federally Qualified Health Center (FQHC))
512 DRYDEN LOOP
DRYDEN, VA 24243
Lee County (276) 212-4325
AMANDA GRIZZLE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
512 DRYDEN LOOP
DRYDEN, VA 24243
Lee County (276) 212-4325
APRIL DAWN HUTCHINSON
Counselor (Mental Health)
512 DRYDEN LOOP, SUITE B
DRYDEN, VA 24243
Lee County (276) 212-4325

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Ridge Integrative Wellness LLC's NPI number?

The NPI number for Blue Ridge Integrative Wellness LLC is 1083192595. It was assigned to this organization in the NPPES registry on August 6, 2018. The provider is doing business as The Carson Clinic.

Where is Blue Ridge Integrative Wellness LLC located?

Blue Ridge Integrative Wellness LLC is located at 512 Dryden Loop, Dryden, VA 24243. The listed phone number is (252) 832-1588.

What is Blue Ridge Integrative Wellness LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Does Blue Ridge Integrative Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2339360) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Ridge Integrative Wellness LLC was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.