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BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
NPI 1720318009
Urology in Connelly Springs, NC

Active since January 08, 2010CLIA 34D2003611 · Microscopy
730 MALCOLM BLVD STE 100, CONNELLY SPRINGS, NC 28612(828) 580-7962(828) 580-3392 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Dec 20, 2024 (2 updates tracked since 2024).

About Blue Ridge Healthcare Medical Group, Inc. NPPES

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

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. (NPI 1720318009), doing business as Blue Ridge Healthcare Urology, is a healthcare organization registered as an urology in Connelly Springs, North Carolina and active in the NPI registry since January 2010. The organization holds a CLIA Microscopy certificate valid through September 6, 2026 and lists Patricia Moll, Svp-cfo, as its authorized official.

NPPES Registry Identity

NPI1720318009
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameBLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Location Address730 MALCOLM BLVD STE 100Connelly Springs, NC 28612-8079
Mailing Address730 Malcolm Blvd Ste 100Connelly Springs, NC 28612-8079 · (828) 580-7962 · Fax (828) 580-3392
Phone(828) 580-7962
Fax(828) 580-3392
Organization SubpartNo
Authorized OfficialPatricia MollSvp-cfo · (828) 580-5003
Enumeration DateJanuary 8, 2010
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1720318009 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.
730 MALCOLM BLVD STE 100, Connelly Springs, NC 28612
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Other Names 1

Doing Business AsBlue Ridge Healthcare Urology

Other Identifiers 2

Other1227YNC · Bcbs
Medicaid891227YNC

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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) 34D2003611

Blue Ridge Healthcare Urology · Connelly Spg, NC
Active · expires Sep 6, 2026
CLIA Number34D2003611
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorMichael B. Bauer
Laboratory Phone(828) 580-7962
Laboratory LocationBlue Ridge Healthcare Urology730 Malcolm Blvd Ste 100, Connelly Spg, NC 28612
CLIA data matches this NPI record on: 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 2

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

DR. QUINCY JUSTIN GREENE M.D.
Surgery
730 MALCOLM BLVD STE 100
CONNELLY SPRINGS, NC 28612
Burke County (828) 580-2250
MICHAEL BRIAN BAUER M.D.
Urology
730 MALCOLM BLVD STE 100
CONNELLY SPRINGS, NC 28612
Burke County (828) 580-7962

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 Healthcare Medical Group, Inc.'s NPI number?

The NPI number for Blue Ridge Healthcare Medical Group, Inc. is 1720318009. It was assigned to this organization in the NPPES registry on January 8, 2010. The provider is doing business as Blue Ridge HealthCare Urology.

Where is Blue Ridge Healthcare Medical Group, Inc. located?

Blue Ridge Healthcare Medical Group, Inc. is located at 730 Malcolm Blvd Ste 100, Connelly Springs, NC 28612. The listed phone number is (828) 580-7962.

What is Blue Ridge Healthcare Medical Group, Inc.'s specialty?

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

Does Blue Ridge Healthcare Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2003611) is associated with this NPI, valid through September 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blue Ridge Healthcare Medical Group, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Blue Ridge Healthcare Medical Group, Inc. 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 Healthcare Medical Group, Inc. was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.