BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
NPI 1811244726
Emergency Medicine in Morganton, NC

NPI Status: Active since August 09, 2012

Contact Information

695 W FLEMING DR
MORGANTON, NC
ZIP 28655
Phone: (828) 580-3278
Fax: (828) 580-3279

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  • Organization
  • Emergency Medicine
  • Accepts Insurance
  • CLIA Number: 34D2070418
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-15-2025

About BLUE RIDGE HEALTHCARE MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Blue Ridge Healthcare Medical Group Inc, a provider established in Morganton, North Carolina operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1811244726 assigned on August 2012. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Blue Ridge Healthcare Medical Group Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Patricia Moll (Svp-cfo)

NPI
1811244726
Provider Legal Name
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
695 W FLEMING DR MORGANTON, NC 28655
Location Phone
(828) 580-3278
Location Fax
(828) 580-3279
Mailing Address
695 W FLEMING DR MORGANTON, NC 28655
Mailing Phone
(828) 580-3278
Mailing Fax
(828) 580-3279
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2012
Last Update Date
04-09-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2208D00000XAllopathic & Osteopathic Physicians

General Practice

 
3261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PATRICIA MOLL

Authorized Official Title
SVP-CFO
Authorized Official Phone
(828) 580-5003

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2070418
Facility Type
Physician Office
Certificate Effective Date
December 16, 2023
Certificate Expiration Date
December 15, 2025
Laboratory Director
GERALDINE R. GOERTZEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Blue Ridge Healthcare Medical Group Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1811244726, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 4 + 4 + 8 + 7 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1811244726.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
695 W FLEMING DR
MORGANTON, NC 28655
Physician Assistant
695 W FLEMING DR
MORGANTON, NC 28655
Emergency Medicine
695 W FLEMING DR
MORGANTON, NC 28655
Physician Assistant
695 W FLEMING DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
695 W FLEMING DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
695 W FLEMING DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
695 W FLEMING DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
695 W FLEMING DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
695 W FLEMING DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
695 W FLEMING DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
695 W FLEMING DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
695 W FLEMING DR
MORGANTON, NC 28655
Physician Assistant
695 W FLEMING DR
MORGANTON, NC 28655
Nurse Practitioner (Family)
695 W FLEMING DR
MORGANTON, NC 28655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811244726, enumerated as an "organization" on August 09, 2012.

The provider is located at 695 W FLEMING DR MORGANTON, NC 28655 and the phone number is (828) 580-3278.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.