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BLUE MOUNTAIN MEDICINE PLLC
NPI 1245669662
General Practice in Brevard, NC

Active since November 06, 2013CLIA 34D2070521 · Waiver
150 S CALDWELL ST, BREVARD, NC 28712(828) 883-4040(828) 883-4060 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Blue Mountain Medicine Pllc NPPES

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

BLUE MOUNTAIN MEDICINE PLLC (NPI 1245669662) is a healthcare organization registered as a general practice in Brevard, North Carolina and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Anthony L Fisher, Md, as its authorized official.

NPPES Registry Identity

NPI1245669662
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBLUE MOUNTAIN MEDICINE PLLC
Location Address150 S CALDWELL STBrevard, NC 28712-3602
Mailing Address150 S Caldwell StBrevard, NC 28712 · (828) 883-4040 · Fax (828) 883-4060
Phone(828) 883-4040
Fax(828) 883-4060
Organization SubpartNo
Authorized OfficialAnthony L FisherMd · (828) 883-4040
Enumeration DateNovember 6, 2013
Last NPPES UpdateDecember 30, 2019
✔ NPI 1245669662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 9701350
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
150 S CALDWELL ST, Brevard, NC 28712
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blue Mountain Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Blue Mountain Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Anthony Fisher, MD
General Practice
NPI 1235184771
150 S CALDWELL ST
Brevard, NC 28712
(828) 883-4040
✔ PECOSSame address
Melissa Arnold, NP
Nurse Practitioner
NPI 1083264584
150 S CALDWELL ST
Brevard, NC 28712
(828) 883-4040
✔ PECOS0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 34D2070521

Blue Mountain Medicine · Brevard, NC
Active · expires Dec 17, 2027
CLIA Number34D2070521
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorAnthony Fisher
Laboratory Phone(828) 884-3115
Laboratory LocationBlue Mountain Medicine150 South Caldwell Street, Brevard, NC 28712
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mountain Medicine PLLC's NPI number?

The NPI number for Blue Mountain Medicine PLLC is 1245669662. It was assigned to this organization in the NPPES registry on November 6, 2013.

Where is Blue Mountain Medicine PLLC located?

Blue Mountain Medicine PLLC is located at 150 S Caldwell St, Brevard, NC 28712. The listed phone number is (828) 883-4040.

What is Blue Mountain Medicine PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Blue Mountain Medicine PLLC enrolled in Medicare?

Yes. Blue Mountain Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Mountain Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Blue Mountain Medicine PLLC, in General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Blue Mountain Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2070521) is associated with this NPI, valid through December 17, 2027. 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 Mountain Medicine PLLC was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.