1. Home
  2. Directory
  3. South Carolina
  4. Seneca
  5. Clinic Center
  6. NPI Profile

BLUE RIDGE PEDIATRICS LLC
NPI 1154450757
Clinic/Center - Rural Health in Seneca, SC

Active since March 02, 2007
457 B HWY 123 BYPASS, SENECA, SC 29678(864) 888-4464(864) 888-4462 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Ridge Pediatrics Llc NPPES

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

BLUE RIDGE PEDIATRICS LLC (NPI 1154450757) is a healthcare organization registered as a rural health in Seneca, South Carolina and active in the NPI registry since March 2007. The organization lists Carey Molin Gully, Owner, as its authorized official.

NPPES Registry Identity

NPI1154450757
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBLUE RIDGE PEDIATRICS LLC
Location Address457 B HWY 123 BYPASSSeneca, SC 29678
Mailing Address457-b Hwy 123 BypassSeneca, SC 29678-0947 · (864) 888-4464 · Fax (864) 888-4462
Phone(864) 888-4464
Fax(864) 888-4462
Organization SubpartNo
Authorized OfficialCarey Molin GullyOwner · (864) 888-4464
Enumeration DateMarch 2, 2007
Last NPPES UpdateJune 30, 2009
✔ NPI 1154450757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
457 B HWY 123 BYPASS, Seneca, SC 29678
Open in Google Maps ↗

Other Identifiers 1

OtherRHC 100SC · Rural Health Clinic

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 Pediatrics LLC's NPI number?

The NPI number for Blue Ridge Pediatrics LLC is 1154450757. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Blue Ridge Pediatrics LLC located?

Blue Ridge Pediatrics LLC is located at 457 B Hwy 123 Bypass, Seneca, SC 29678. The listed phone number is (864) 888-4464.

What is Blue Ridge Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Pediatrics LLC was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.