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BLUE RIDGE DERMATOLOGY ASSOCIATES
NPI 1770545550
Dermatology in Raleigh, NC

Active since April 05, 2006CLIA Certified · 2 labs
4225 MACON POND RD STE 300, RALEIGH, NC 27607(919) 781-1050(919) 510-5090 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Ridge Dermatology Associates NPPES

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

BLUE RIDGE DERMATOLOGY ASSOCIATES (NPI 1770545550) is a healthcare organization registered as a dermatology in Raleigh, North Carolina and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Lynda A Amsden, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1770545550
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLUE RIDGE DERMATOLOGY ASSOCIATES
Location Address4225 MACON POND RD STE 300Raleigh, NC 27607-6320
Mailing Address4225 Macon Pond Rd Ste 300Raleigh, NC 27607-6320 · (919) 781-1050 · Fax (919) 510-5090
Phone(919) 781-1050
Fax(919) 510-5090
Organization SubpartNo
Authorized OfficialLynda A AmsdenCredentialing Coordinator · (919) 781-1050
Enumeration DateApril 5, 2006
Last NPPES UpdateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1770545550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4225 MACON POND RD STE 300, Raleigh, NC 27607
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Other Identifiers 1

Medicaid8901073NC

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 Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 34D2312042

Blue Ridge Dermatology Associates, PA · Raleigh, NC
Active · expires Aug 7, 2027
CLIA Number34D2312042
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorTimothy C. Flynn
Laboratory Phone(919) 781-1050
Laboratory LocationBlue Ridge Dermatology Associates, PA4225 Macon Pond Road, Suite 300, Raleigh, NC 27607
CLIA data matches this NPI record on: Address 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1008915

Blue Ridge Dermatology Associates, PA · Cary, NC
Active · expires Jan 30, 2027
CLIA Number34D1008915
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorKatherine D. O Rourke
Laboratory Phone(919) 781-1050
Laboratory LocationBlue Ridge Dermatology Associates, PA1110 S. E. Cary Parkway, Suite 100, Cary, NC 27518
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.

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 Dermatology Associates's NPI number?

The NPI number for Blue Ridge Dermatology Associates is 1770545550. It was assigned to this organization in the NPPES registry on April 5, 2006.

Where is Blue Ridge Dermatology Associates located?

Blue Ridge Dermatology Associates is located at 4225 Macon Pond Rd Ste 300, Raleigh, NC 27607. The listed phone number is (919) 781-1050.

What is Blue Ridge Dermatology Associates's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Blue Ridge Dermatology Associates hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Blue Ridge Dermatology Associates accept?

Health plans from Blue Cross and Blue Shield of NC list Blue Ridge Dermatology Associates 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 Dermatology Associates was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.