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BLUE RIDGE PEDIATRICS LLC
NPI 1457324907
Pediatrics - Adolescent Medicine in Seneca, SC

Active since February 07, 2006
457-B HIGHWAY 123 BYPASS, SENECA, SC 29678(864) 888-4464(864) 888-4462 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 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 1457324907) is a healthcare organization registered as an adolescent medicine in Seneca, South Carolina and active in the NPI registry since February 2006. The organization lists Carey Molin Gully, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1457324907
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBLUE RIDGE PEDIATRICS LLC
Location Address457-B HIGHWAY 123 BYPASSSeneca, SC 29678
Mailing Address457b Highway 123Seneca, SC 29678-0842 · (864) 888-4464 · Fax (864) 888-4462
Phone(864) 888-4464
Fax(864) 888-4462
Organization SubpartNo
Authorized OfficialCarey Molin GullyOwner/physician · (864) 888-4464
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJanuary 25, 2011
✔ NPI 1457324907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in SC · 246601✔ Licensed in SC · 101794
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
457-B HIGHWAY 123 BYPASS, Seneca, SC 29678
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Other Identifiers 2

MedicaidGP1060SC
MedicaidRHC195SC

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

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 1457324907. It was assigned to this organization in the NPPES registry on February 7, 2006.

Where is Blue Ridge Pediatrics LLC located?

Blue Ridge Pediatrics LLC is located at 457-B Highway 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 Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

What insurance does Blue Ridge Pediatrics LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Blue Ridge Pediatrics LLC 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 Pediatrics LLC was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.