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BLUE RIDGE FAMILY MEDICINE
NPI 1588910756
Family Medicine in Rural Retreat, VA

Active since July 25, 2012CLIA 49D1102710 · Microscopy
445 GIENOW RD, RURAL RETREAT, VA 24368(276) 686-4007(276) 686-4581 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Ridge Family Medicine NPPES

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

BLUE RIDGE FAMILY MEDICINE (NPI 1588910756) is a healthcare organization registered as a family medicine in Rural Retreat, Virginia and active in the NPI registry since July 2012. The organization holds a CLIA Microscopy certificate valid through July 22, 2027 and lists Kimberly K Lacy, Physician, as its authorized official.

NPPES Registry Identity

NPI1588910756
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROYAL OAK MEDICAL ASSOCIATES PC
Location Address445 GIENOW RDRural Retreat, VA 24368-3210
Mailing Address445 Gienow RdRural Retreat, VA 24368-3210 · (276) 686-4007 · Fax (276) 686-4581
Phone(276) 686-4007
Fax(276) 686-4581
Organization SubpartYes
Authorized OfficialKimberly K LacyPhysician · (276) 686-4007
Enumeration DateJuly 25, 2012
✔ NPI 1588910756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
445 GIENOW RD, Rural Retreat, VA 24368
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Other Names 1

Doing Business AsBlue Ridge Family Medicine

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 for Provider-Performed Microscopy Procedures (PPMP) 49D1102710

Blue Ridge Family Medicine · Rural Retreat, VA
Active · expires Jul 22, 2027
CLIA Number49D1102710
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorKimberly K. Lacy
Laboratory Phone(276) 686-4007
Laboratory LocationBlue Ridge Family Medicine445 Gienow Road, Rural Retreat, VA 24368
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

KIMBERLY KAY LACY D.O.
Family Medicine
445 GIENOW RD
RURAL RETREAT, VA 24368
Wythe County (276) 686-4007
MARGARET ELIZABETH VINES FNP
Nurse Practitioner (Family)
445 GIENOW RD
RURAL RETREAT, VA 24368
Wythe County (276) 228-6499
BLUE RIDGE FAMILY MEDICINE
Family Medicine
445 GIENOW RD
RURAL RETREAT, VA 24368
Wythe County (276) 686-4007
LAURA E SKAGGS FNP-BC
Nurse Practitioner (Family)
445 GIENOW RD
RURAL RETREAT, VA 24368
Wythe County (276) 686-4007

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 Royal Oak Medical Associates PC's NPI number?

The NPI number for Royal Oak Medical Associates PC is 1588910756. It was assigned to this organization in the NPPES registry on July 25, 2012. The provider is doing business as Blue Ridge Family Medicine.

Where is Royal Oak Medical Associates PC located?

Royal Oak Medical Associates PC is located at 445 Gienow Rd, Rural Retreat, VA 24368. The listed phone number is (276) 686-4007.

What is Royal Oak Medical Associates PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Royal Oak Medical Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D1102710) is associated with this NPI, valid through July 22, 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 Royal Oak Medical Associates PC was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.