BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
NPI 1326849456
Pain Medicine - Interventional Pain Medicine in Valdese, NC

Q: What is Blue Ridge Healthcare Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since March 24, 2025CLIA 34D2031047 · Waiver

720 MALCOLM BLVD, STE 400, VALDESE, NC 28690(828) 580-7620(828) 580-7624 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blue Ridge Healthcare Medical Group, Inc. NPPES

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

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. (NPI 1326849456), doing business as Blue Ridge Pain Specialist, is a healthcare organization registered as an interventional pain medicine in Valdese, North Carolina and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through October 10, 2027, maintains a secondary practice location in Hickory, and lists Patricia Moll, Svp/cfo, as its authorized official.

NPPES Registry Identity

NPI1326849456

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameBLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Location Address720 MALCOLM BLVD, STE 400Valdese, NC 28690-2872

Mailing Address5221 Paramount Pkwy Ste 420Morrisville, NC 27560-5491 · (984) 974-2705

Phone(828) 580-7620

Fax(828) 580-7624

Organization SubpartNo

Authorized OfficialPatricia MollSvp/cfo · (828) 580-5003

Enumeration DateMarch 24, 2025

Last NPPES UpdateMarch 26, 2025

NPPES CertifiedMarch 24, 2025

✔ NPI 1326849456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

720 MALCOLM BLVD, Valdese, NC 28690

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Other Names 1

Doing Business AsBlue Ridge Pain Specialist

Secondary Practice Location 1

Location 12134 14th Avenue Cir NWHickory, NC 28601-7357 · Phone (828) 580-2280

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

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 34D2031047

Blue Ridge Healthcare Medical Group, Inc Dba Blue Ridge Radiology Practice · Hickory, NC

Active · expires Oct 10, 2027

CLIA Number34D2031047

Laboratory TypeRadiology Clinic

Certificate Effective DateOctober 11, 2025

Certificate Expiration DateOctober 10, 2027

Laboratory DirectorRay M. Antley

Laboratory Phone(828) 433-1235

Laboratory LocationBlue Ridge Healthcare Medical Group, Inc Dba Blue Ridge Radiology Practice2134 14th Avenue Circle NW Suite D, Hickory, NC 28601

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 14

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

CHIMIAK MEDICAL SOLUTIONS, PLLC

Anesthesiology