PARDEE BLUEMD-611B FIFTH AVENUE WEST
NPI 1952030652
Clinic/Center - Federally Qualified Health Center (FQHC) in Hendersonville, NC

Active since June 08, 2022CLIA 34D2285058 · Waiver
611-B FIFTH AVENUE WEST, HENDERSONVILLE, NC 28739(828) 698-3301(828) 698-7133 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2023, Jun 8, 2022 (2 updates tracked since 2022).

About Pardee Bluemd-611b Fifth Avenue West NPPES

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

PARDEE BLUEMD-611B FIFTH AVENUE WEST (NPI 1952030652) is a healthcare organization registered as a federally qualified health center (fqhc) in Hendersonville, North Carolina and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Michael Lynn Sunday, Vp, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1952030652
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHENDERSON COUNTY HOSPITAL CORPORATION
Location Address611-B FIFTH AVENUE WESTHendersonville, NC 28739
Mailing Address5221 Paramount Pkwy Ste 440Morrisville, NC 27560-5491 · (984) 974-1190
Fax(828) 698-7133
Organization SubpartNo
Authorized OfficialMichael Lynn SundayVp, Chief Financial Officer · (828) 696-1175
Enumeration DateJune 8, 2022
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1952030652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
611-B FIFTH AVENUE WEST, Hendersonville, NC 28739

Other Names 1

Doing Business AsPardee Bluemd-611b Fifth Avenue West

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)

Pardee Bluemd-611b Fifth Avenue West is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pardee Bluemd-611b Fifth Avenue West, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1376046862
611 5TH AVE W
Hendersonville, NC 28739
(828) 698-3301
✔ PECOSSame address
Family Practice
NPI 1982640314
611 5TH AVE W STE B
Hendersonville, NC 28739
(828) 698-3301
✔ PECOSSame address
Family Practice
NPI 1457672917
709 N JUSTICE ST SUITE B
Hendersonville, NC 28791
(828) 696-1255
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 34D2285058

Pardee Bluemd · Hendersonville, NC
Active · expires Jul 4, 2027
CLIA Number34D2285058
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2025
Certificate Expiration DateJuly 4, 2027
Laboratory DirectorEvan Beasley
Laboratory Phone(828) 698-3301
Laboratory LocationPardee Bluemd611 Fifth Avenue West, Hendersonville, NC 28739
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Henderson County Hospital Corporation's NPI number?

The NPI number for Henderson County Hospital Corporation is 1952030652. It was assigned to this organization in the NPPES registry on June 8, 2022. The provider is doing business as Pardee Bluemd-611b Fifth Avenue West.

Where is Henderson County Hospital Corporation located?

Henderson County Hospital Corporation is located at 611-B Fifth Avenue West, Hendersonville, NC 28739. The listed phone number is (828) 698-3301.

What is Henderson County Hospital Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Henderson County Hospital Corporation enrolled in Medicare?

Yes. Henderson County Hospital Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Henderson County Hospital Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Henderson County Hospital Corporation. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Henderson County Hospital Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2285058) is associated with this NPI, valid through July 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Henderson County Hospital Corporation accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Henderson County Hospital Corporation 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 Henderson County Hospital Corporation was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.