BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
NPI 1740558949
Surgery in Connelly Springs, NC

Active since December 02, 2011
845 MALCOLM BOULEVARD, CONNELLY SPRINGS, NC 28612(828) 580-3555(828) 874-2111 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2025, Dec 31, 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 1740558949), doing business as Alan F. Jacks, Md, Pa, is a healthcare organization registered as a surgery in Connelly Springs, North Carolina and active in the NPI registry since December 2011. The organization lists Patricia Moll, Svp-cfo, as its authorized official.

NPPES Registry Identity

NPI1740558949
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Location Address845 MALCOLM BOULEVARDConnelly Springs, NC 28612-8615
Mailing Address845 Malcolm BoulevardConnelly Springs, NC 28612-8615 · (828) 580-3555 · Fax (828) 874-2111
Fax(828) 874-2111
Organization SubpartNo
Authorized OfficialPatricia MollSvp-cfo · (828) 580-5003
Enumeration DateDecember 2, 2011
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1740558949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 969601640
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
845 MALCOLM BOULEVARD, Connelly Springs, NC 28612

Other Names 1

Doing Business AsAlan F. Jacks, Md, Pa

Other Identifiers 1

Other2327875NC · Medicare Ptan

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

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 Healthcare Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

320

Medicare enrollment records show 320 clinicians reassign Medicare billing to Blue Ridge Healthcare Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 103 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Diagnostic Radiology84
Nurse Practitioner61
Internal Medicine40
Family Practice25
Hospitalist20
Neurology13
Obstetrics/Gynecology12
Pulmonary Disease9
22 other specialties56

Nearest to this location (20)

See all 320
General Surgery
NPI 1992987713
845 MALCOLM BLVD.
Connelly Springs, NC 28612
(828) 580-3555
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407109309
845 MALCOLM BLVD
Connelly Springs, NC 28612
(828) 580-3555
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1013650407
730 MALCOLM BLVD STE 150
Connelly Springs, NC 28612
(828) 874-4600
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1477128486
730 MALCOLM BLVD # 150
Connelly Springs, NC 28612
(828) 874-4600
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1962865220
730 MALCOLM BLVD
Connelly Springs, NC 28612
(828) 580-3572
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1548924160
730 MALCOLM BLVD STE 150
Connelly Springs, NC 28612
(828) 874-4600
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1497799977
730 MALCOLM BLVD STE 100
Connelly Springs, NC 28612
(828) 580-7962
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1376586909
730 MALCOLM BLVD STE 230
Connelly Springs, NC 28612
(828) 580-2811
✔ PECOS✔ Accepts Medicare0.2 mi
General Surgery
NPI 1457492175
730 MALCOLM BLVD STE 100
Connelly Springs, NC 28612
(828) 580-2250
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1245725480
730 MALCOLM BLVD STE 150
Connelly Springs, NC 28612
(828) 874-4600
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1437526175
730 MALCOLM BLVD STE 150
Connelly Springs, NC 28612
(828) 874-4600
✔ PECOS✔ Accepts Medicare0.2 mi
Hematology/Oncology
NPI 1093129207
720 MALCOLM BLVD STE 200
Connelly Springs, NC 28612
(828) 580-7654
✔ PECOS✔ Accepts Medicare0.2 mi
Hematology/Oncology
NPI 1417248360
720 MALCOLM BLVD
Connelly Springs, NC 28612
(828) 580-7536
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1922728773
720 MALCOLM BLVD STE 200
Connelly Springs, NC 28612
(828) 580-7654
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1669773404
720 MALCOLM BLVD
Valdese, NC 28690
(828) 580-7536
✔ PECOS✔ Accepts Medicare0.2 mi
Pain Management
NPI 1558318535
720 MALCOLM BLVD
Valdese, NC 28690
(828) 580-7620
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1316995459
110 HILLTOP ST
Connelly Springs, NC 28612
(828) 580-7432
✔ PECOS0.4 mi
Obstetrics/Gynecology
NPI 1346209293
110 HILLTOP STREET
Connelly Springs, NC 28612
(828) 580-4661
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1831622497
110 HILLTOP STREET
Connelly Springs, NC 28612
(828) 580-4661
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1720175367
560 MALCOLM BLVD
Connelly Springs, NC 28612
(828) 874-2061
✔ PECOS✔ Accepts Medicare0.4 mi
See all 320 clinicians

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 Healthcare Medical Group, Inc.'s NPI number?

The NPI number for Blue Ridge Healthcare Medical Group, Inc. is 1740558949. It was assigned to this organization in the NPPES registry on December 2, 2011. The provider is doing business as Alan F. Jacks, MD, PA.

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

Blue Ridge Healthcare Medical Group, Inc. is located at 845 Malcolm Boulevard, Connelly Springs, NC 28612. The listed phone number is (828) 580-3555.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Blue Ridge Healthcare Medical Group, Inc. enrolled in Medicare?

Yes. Blue Ridge Healthcare Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Ridge Healthcare Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 320 clinicians in 30 Medicare specialties reassign their Medicare billing to Blue Ridge Healthcare Medical Group, Inc.. 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 Diagnostic Radiology (84), Nurse Practitioner (61) and Internal Medicine (40). Of these, 2 practice at this address and 103 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Health plans from 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 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.