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BLUE RIDGE PEDIATRIC & ADOLESCENT MEDICINE, INC
NPI 1114038163
Pediatrics in Boone, NC

Active since August 31, 2006CLIA Certified · 2 labs
579 GREENWAY RD, SUITE 200, BOONE, NC 28607(828) 262-0100(828) 264-7592 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Ridge Pediatric & Adolescent Medicine, Inc NPPES

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

BLUE RIDGE PEDIATRIC & ADOLESCENT MEDICINE, INC (NPI 1114038163) is a healthcare organization registered as a pediatrics in Boone, North Carolina and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Laura Hardee, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114038163
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBLUE RIDGE PEDIATRIC & ADOLESCENT MEDICINE, INC
Location Address579 GREENWAY RD, SUITE 200Boone, NC 28607-4809
Mailing Address579 Greenway Rd, Suite 200Boone, NC 28607-4809 · (828) 262-0100 · Fax (828) 264-7592
Phone(828) 262-0100
Fax(828) 264-7592
Organization SubpartNo
Authorized OfficialLaura HardeeOffice Manager · (828) 262-0100
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 10, 2012
✔ NPI 1114038163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 39798
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
579 GREENWAY RD, Boone, NC 28607
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Other Identifiers 2

Medicaid890110KNC
Other0110KNC · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 34D0723312

Blue Ridge Pediatric & Adolescent Medicine, Inc · Boone, NC
Active · expires Dec 22, 2027
CLIA Number34D0723312
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Lanny L. Monroe
Laboratory Phone(828) 262-0100
Laboratory LocationBlue Ridge Pediatric & Adolescent Medicine, Inc579 Greenway Road, Suite 200, Boone, NC 28607
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 34D1005148

Blue Ridge Pediatrics & Adolescent Medicine, Inc · Linville, NC
Active · expires Oct 15, 2026
CLIA Number34D1005148
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorLanny L. Monroe
Laboratory Phone(828) 262-0100
Laboratory LocationBlue Ridge Pediatrics & Adolescent Medicine, Inc3616 Mitchell Ave # 2, Linville, NC 28646
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

WESLEY SCOTT ST CLAIR MD
Pediatrics
579 GREENWAY RD, SUITE 200
BOONE, NC 28607
Watauga County (828) 262-0100
CAPITAL CARE RESOURCES, LLC
Home Health
579 GREENWAY RD, SUITE 103
BOONE, NC 28607
Watauga County (828) 266-1166
JANE GILBERT EASTMAN P-NP
Nurse Practitioner (Pediatrics)
579 GREENWAY RD, SUITE 200
BOONE, NC 28607
Watauga County (828) 262-0100
CAROLINAS PHYSICIANS NETWORK INC
Pediatrics (Pediatric Cardiology)
579 GREENWAY RD, SUITE 200
BOONE, NC 28607
Watauga County (704) 381-3970
GREGORY LYNN ADAMS MD
Pediatrics
579 GREENWAY RD, SUITE 200
BOONE, NC 28607
Watauga County (828) 262-0100
CLINTON BALLARD ZIMMERMAN JR. MD
Pediatrics
579 GREENWAY RD, SUITE 200
BOONE, NC 28607
Watauga County (828) 262-0100
JOHN ROBERT LONAS MD
Pediatrics
579 GREENWAY RD, SUITE 200
BOONE, NC 28607
Watauga County (828) 262-0100
GREENWAY PHARMACY INC
Pharmacy
579 GREENWAY RD, SUITE 100
BOONE, NC 28607
Watauga County (828) 355-3350

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 Pediatric & Adolescent Medicine, Inc's NPI number?

The NPI number for Blue Ridge Pediatric & Adolescent Medicine, Inc is 1114038163. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Blue Ridge Pediatric & Adolescent Medicine, Inc located?

Blue Ridge Pediatric & Adolescent Medicine, Inc is located at 579 Greenway Rd Suite 200, Boone, NC 28607. The listed phone number is (828) 262-0100.

What is Blue Ridge Pediatric & Adolescent Medicine, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Blue Ridge Pediatric & Adolescent Medicine, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Blue Ridge Pediatric & Adolescent Medicine, Inc accept?

Health plans from Blue Cross and Blue Shield of NC list Blue Ridge Pediatric & Adolescent Medicine, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blue Ridge Pediatric & Adolescent Medicine, Inc was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.