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BLUE RIDGE PULMONARY MEDICINE, PC
NPI 1487601019
Internal Medicine - Pulmonary Disease in Cleveland, TN

Active since May 28, 2006
110 DUNHILL PL NW, CLEVELAND, TN 37311(423) 476-2212(423) 476-7022 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blue Ridge Pulmonary Medicine, Pc NPPES

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

BLUE RIDGE PULMONARY MEDICINE, PC (NPI 1487601019) is a healthcare organization registered as a pulmonary disease in Cleveland, Tennessee and active in the NPI registry since May 2006. The organization lists John S. Jaggers, President, as its authorized official.

NPPES Registry Identity

NPI1487601019
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameBLUE RIDGE PULMONARY MEDICINE, PC
Location Address110 DUNHILL PL NWCleveland, TN 37311-3883
Mailing Address110 Dunhill Pl NwCleveland, TN 37311-3883 · (423) 476-2212 · Fax (423) 476-7022
Phone(423) 476-2212
Fax(423) 476-7022
Organization SubpartNo
Authorized OfficialJohn S. JaggersPresident · (423) 476-2212
Enumeration DateMay 28, 2006
Last NPPES UpdateJune 1, 2009
✔ NPI 1487601019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
110 DUNHILL PL NW, Cleveland, TN 37311
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Other Identifiers 2

Medicaid3702756TN
Medicare ID-Type Unspecified3702756TN · Group Billing Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

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 Ridge Pulmonary Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Blue Ridge Pulmonary Medicine, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

John Jaggers, M.D.
Pulmonary Disease
NPI 1568403178
110 DUNHILL PL NW
Cleveland, TN 37311
(423) 476-2212
✔ PECOS✔ Accepts MedicareSame address
Jaclyn Botterbush, APRN, FNP-BC
Nurse Practitioner
NPI 1043917297
110 DUNHILL PL NW
Cleveland, TN 37311
(423) 476-2212
✔ PECOS✔ Accepts MedicareSame address
Ahmad Ibrahimbacha, M,D.
Pulmonary Disease
NPI 1043266752
110 DUNHILL PL NW
Cleveland, TN 37311
(423) 476-2212
✔ PECOSSame address
Robert Marcum, M.D.
Pulmonary Disease
NPI 1659311231
110 DUNHILL PL NW
Cleveland, TN 37311
(423) 476-2212
✔ PECOS✔ Accepts MedicareSame address
Ethan Rutledge, D.O.
Pulmonary Disease
NPI 1508156696
110 DUNHILL PL NW
Cleveland, TN 37311
(423) 476-2212
✔ PECOS✔ Accepts MedicareSame address
Tami Brehen, NP
Nurse Practitioner
NPI 1700185469
1060 WILLIAM WAY NW
Cleveland, TN 37312
(423) 478-1050
✔ PECOS1.1 mi

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

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 Pulmonary Medicine, PC's NPI number?

The NPI number for Blue Ridge Pulmonary Medicine, PC is 1487601019. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Blue Ridge Pulmonary Medicine, PC located?

Blue Ridge Pulmonary Medicine, PC is located at 110 Dunhill Pl NW, Cleveland, TN 37311. The listed phone number is (423) 476-2212.

What is Blue Ridge Pulmonary Medicine, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Blue Ridge Pulmonary Medicine, PC enrolled in Medicare?

Yes. Blue Ridge Pulmonary Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Ridge Pulmonary Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Blue Ridge Pulmonary Medicine, PC. 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. The largest specialties are Pulmonary Disease (4) and Nurse Practitioner (2). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Blue Ridge Pulmonary Medicine, PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Blue Ridge Pulmonary Medicine, PC 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 Pulmonary Medicine, PC was last updated on June 1, 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.