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BLUE RIDGE UROLOGY PA
NPI 1487751699
Urology in Greer, SC

Active since September 20, 2006CLIA 42D0726779 · Certificate of Compliance
402 MEMORIAL DRIVE EXTENSION, GREER, SC 29651(864) 877-0779(864) 877-7801 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Blue Ridge Urology Pa NPPES

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

BLUE RIDGE UROLOGY PA (NPI 1487751699) is a healthcare organization registered as an urology in Greer, South Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists John E Walton, Owner, as its authorized official.

NPPES Registry Identity

NPI1487751699
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameBLUE RIDGE UROLOGY PA
Location Address402 MEMORIAL DRIVE EXTENSIONGreer, SC 29651
Mailing Address402 Memorial Drive ExtensionGreer, SC 29651 · (864) 877-0779 · Fax (864) 877-7801
Phone(864) 877-0779
Fax(864) 877-7801
Organization SubpartNo
Authorized OfficialJohn E WaltonOwner · (864) 877-0779
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1487751699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
402 MEMORIAL DRIVE EXTENSION, Greer, SC 29651
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Other Identifiers 2

Other89014MUNC · Medicaid
MedicaidGP3677SC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil 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 Urology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Ridge Urology PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Walton, MD
Urology
NPI 1376632703
402 MEMORIAL DRIVE EXTENSION
Greer, SC 29651
(864) 877-0779
✔ PECOS✔ Accepts MedicareSame address

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 Compliance 42D0726779

Blue Ridge Urology PA · Greer, SC
Active · expires Nov 30, 2026
CLIA Number42D0726779
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorJohn E. Walton M D
Laboratory Phone(864) 877-0779
Laboratory LocationBlue Ridge Urology PA402 Memorial Drive Ext Attn Janice Stead, Greer, SC 29651
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Urology PA's NPI number?

The NPI number for Blue Ridge Urology PA is 1487751699. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Blue Ridge Urology PA located?

Blue Ridge Urology PA is located at 402 Memorial Drive Extension, Greer, SC 29651. The listed phone number is (864) 877-0779.

What is Blue Ridge Urology PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Blue Ridge Urology PA enrolled in Medicare?

Yes. Blue Ridge Urology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Ridge Urology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Blue Ridge Urology PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Blue Ridge Urology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D0726779) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blue Ridge Urology PA accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and Molina Healthcare list Blue Ridge Urology PA 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 Urology PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.