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BLUE RIDGE PEDIATRICS LLP
NPI 1942389838
Pediatrics in Raleigh, NC

Active since November 03, 2006CLIA 34D0240903 · Waiver
3124 BLUE RIDGE RD, SUITE 102, RALEIGH, NC 27612(919) 782-0021(919) 571-0825 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Ridge Pediatrics Llp NPPES

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

BLUE RIDGE PEDIATRICS LLP (NPI 1942389838) is a healthcare organization registered as a pediatrics in Raleigh, North Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Nicholas Joseph Davanzo, General Partner, as its authorized official.

NPPES Registry Identity

NPI1942389838
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBLUE RIDGE PEDIATRICS LLP
Location Address3124 BLUE RIDGE RD, SUITE 102Raleigh, NC 27612
Mailing Address3124 Blue Ridge Rd, Suite 102Raleigh, NC 27612 · (919) 782-0021 · Fax (919) 571-0825
Phone(919) 782-0021
Fax(919) 571-0825
Organization SubpartNo
Authorized OfficialNicholas Joseph DavanzoGeneral Partner · (919) 782-0021
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942389838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3124 BLUE RIDGE RD, Raleigh, NC 27612
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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

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 of Waiver 34D0240903

Blue Ridge Pediatrics · Raleigh, NC
Active · expires Sep 30, 2027
CLIA Number34D0240903
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorNicholas D'avanzo
Laboratory Phone(919) 782-0021
Laboratory LocationBlue Ridge Pediatrics3124 Blue Ridge Rd Ste 102, Raleigh, NC 27612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. ELLEN DEFLORA MD
Pediatrics
3124 BLUE RIDGE RD
RALEIGH, NC 27612
Wake County (919) 782-0021
DR. ANANT B SONI MD
Internal Medicine (Gastroenterology)
3124 BLUE RIDGE RD, SUITE 103
RALEIGH, NC 27612
Wake County (919) 782-5451
DR. NICHOLAS JOSEPH D'AVANZO M.D.
Pediatrics
3124 BLUE RIDGE RD, SUITE 102
RALEIGH, NC 27612
Wake County (919) 782-0021
DR. ROBERT MARSHALL HORTON M.D.
Family Medicine
3124 BLUE RIDGE RD
RALEIGH, NC 27612
Wake County (919) 782-2333
ROBERT M HORTON MD PA
Clinic/Center (Primary Care)
3124 BLUE RIDGE RD, SUITE #101
RALEIGH, NC 27612
Wake County (919) 782-2333

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 Pediatrics LLP's NPI number?

The NPI number for Blue Ridge Pediatrics LLP is 1942389838. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Blue Ridge Pediatrics LLP located?

Blue Ridge Pediatrics LLP is located at 3124 Blue Ridge Rd Suite 102, Raleigh, NC 27612. The listed phone number is (919) 782-0021.

What is Blue Ridge Pediatrics LLP's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Blue Ridge Pediatrics LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0240903) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Ridge Pediatrics LLP 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.