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BLUE RIDGE GASTROENTEROLOGY, PC
NPI 1891801296
Internal Medicine - Gastroenterology in Cleveland, TN

Active since August 21, 2006
110 DUNHILL PL NW, CLEVELAND, TN 37311(423) 614-4000(423) 614-4107 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Ridge Gastroenterology, Pc NPPES

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

BLUE RIDGE GASTROENTEROLOGY, PC (NPI 1891801296) is a healthcare organization registered as a gastroenterology in Cleveland, Tennessee and active in the NPI registry since August 2006. The organization lists Marc L. Clark, President, as its authorized official.

NPPES Registry Identity

NPI1891801296
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBLUE RIDGE GASTROENTEROLOGY, PC
Location Address110 DUNHILL PL NWCleveland, TN 37311-3883
Mailing Address110 Dunhill Pl NwCleveland, TN 37311-3883 · (423) 614-4000 · Fax (423) 614-4107
Phone(423) 614-4000
Fax(423) 614-4107
Organization SubpartNo
Authorized OfficialMarc L. ClarkPresident · (423) 614-4000
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891801296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
110 DUNHILL PL NW, Cleveland, TN 37311
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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

Other Providers at the Same Location NPPES 9

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

AHMAD MACHHOUR IBRAHIMBACHA M,D.
Internal Medicine (Pulmonary Disease)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Bradley County (423) 476-2212
MRS. JACLYN NICOLE MONTGOMERY APRN, FNP-BC
Nurse Practitioner (Family)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Bradley County (423) 476-2212
BLUE RIDGE PULMONARY MEDICINE, PC
Internal Medicine (Pulmonary Disease)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Bradley County (423) 476-2212
DR. ETHAN BRANDON RUTLEDGE D.O.
Internal Medicine (Pulmonary Disease)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Bradley County (423) 476-2212
J & L ENTERPRISES, LLC
Nurse Practitioner
110 DUNHILL PL NW, SUITE B
CLEVELAND, TN 37311
Bradley County (423) 790-7792
DR. GEORGE A. SAMUEL D.O.
Internal Medicine (Gastroenterology)
110 DUNHILL PL NW, SUITE B
CLEVELAND, TN 37311
Bradley County (423) 339-2000
JOHN S. JAGGERS III M.D.
Internal Medicine (Pulmonary Disease)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Bradley County (423) 476-2212
ROBERT F. MARCUM M.D.
Internal Medicine (Pulmonary Disease)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Bradley County (423) 476-2212

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 Gastroenterology, PC's NPI number?

The NPI number for Blue Ridge Gastroenterology, PC is 1891801296. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Blue Ridge Gastroenterology, PC located?

Blue Ridge Gastroenterology, PC is located at 110 Dunhill Pl NW, Cleveland, TN 37311. The listed phone number is (423) 614-4000.

What is Blue Ridge Gastroenterology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Gastroenterology, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.