BLUE RIDGE FAMILY MEDICINE
NPI 1669178430
Family Medicine in Rural Retreat, VA
About Blue Ridge Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE RIDGE FAMILY MEDICINE (NPI 1669178430) is a healthcare organization registered as a family medicine in Rural Retreat, Virginia and active in the NPI registry since February 2023. The organization lists Kiimberly Lacy, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Blue Ridge Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Family Medicine's NPI number?
The NPI number for Blue Ridge Family Medicine is 1669178430. It was assigned to this organization in the NPPES registry on February 3, 2023.
Where is Blue Ridge Family Medicine located?
Blue Ridge Family Medicine is located at 445 Gienow Rd, Rural Retreat, VA 24368. The listed phone number is (276) 686-4007.
What is Blue Ridge Family Medicine's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Blue Ridge Family Medicine enrolled in Medicare?
Yes. Blue Ridge Family Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Ridge Family Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Blue Ridge Family Medicine, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blue Ridge Family Medicine was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Blue Ridge Family Medicine · NPI 1669178430
Family Medicine organization in Rural Retreat, Virginia. Organization record, active in the CMS NPPES registry since February 3, 2023.
## Identity
- **NPI:** 1669178430 (Entity type: Organization)
- **Enumerated:** February 3, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kiimberly Lacy, PHYSICIAN
## Practice location
- **Address:** 445 GIENOW RD, Rural Retreat, VA 24368-3210
- **Phone:** (276) 686-4007
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2024
- **Other identifiers:** Medicaid 30017597520001 (VA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1669178430) · Data from the CMS NPPES public registry.