BLUE RIDGE PODIATRY ASSOCIATES
NPI 1952390221
Podiatrist in Rocky Mount, VA

NPI Status: Active since October 19, 2005

Contact Information

390 S MAIN ST STE 103
ROCKY MOUNT, VA
ZIP 24151
Phone: (540) 483-7933
Fax: (540) 463-9454

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  • Organization
  • Podiatrist
  • CLIA Number: 49D1085779
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-03-2027

About BLUE RIDGE PODIATRY ASSOCIATES

This page provides the complete NPI Profile along with additional information for Blue Ridge Podiatry Associates, a provider established in Rocky Mount, Virginia operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1952390221 assigned on October 2005. The practitioner's primary taxonomy code is 213E00000X with license number 0103000391 (VA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. John Larry Clements D.p.m (President)

NPI
1952390221
Provider Name
BLUE RIDGE PODIATRY ASSOCIATES
Entity Type
Organization
Location Address
390 S MAIN ST STE 103 ROCKY MOUNT, VA 24151
Location Phone
(540) 483-7933
Location Fax
(540) 463-9454
Mailing Address
PO BOX 4205 EDEN, NC 27289
Mailing Phone
(336) 623-4545
Mailing Fax
(540) 463-9454
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2005
Last Update Date
11-22-2010
Code Navigator

A podiatrist like Blue Ridge Podiatry Associates provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

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

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
0103000391
License State
VA
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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)
1213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

0103000371 (VA)
2213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

0103300877 (VA)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

DR. JOHN LARRY CLEMENTS D.P.M

Authorized Official Title
PRESIDENT
Authorized Official Phone
(540) 885-8891

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0518620002OTHER (01)VANSC LEXINGTON LOCATION
T21453MEDICARE UPIN (02)VA 
009301747MEDICAID (05)VA 
480000126MEDICARE ID-TYPE UNSPECIFIED (04)VA 
000037B36MEDICARE ID-TYPE UNSPECIFIED (04)VA 
0518620003MEDICARE NSC (07)VA 
0518620001OTHER (01)VANSC STAUNTON LOCATION
T21532MEDICARE UPIN (02)VA 
009301208MEDICAID (05)VA 
009301283MEDICAID (05)VA 
CM9184OTHER (01)VARR MEDICARE GROUP
C01936MEDICARE ID-TYPE UNSPECIFIED (04)VAGROUP MEDICARE NUMBER
U90597MEDICARE UPIN (02)VA 
480000127MEDICARE ID-TYPE UNSPECIFIED (04)VA 

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
49D1085779
Facility Type
Physician Office
Certificate Effective Date
September 04, 2025
Certificate Expiration Date
September 03, 2027
Laboratory Director
DR. SUZAN MERTEN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Blue Ridge Podiatry Associates on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1952390221, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 5 → 10 → 1 3 → 6 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 0 + 2 + 6 + 9 + 0 + 2 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1952390221.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
390 S MAIN ST STE 103
ROCKY MOUNT, VA 24151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952390221, enumerated as an "organization" on October 19, 2005.

The provider is located at 390 S MAIN ST STE 103 ROCKY MOUNT, VA 24151 and the phone number is (540) 483-7933.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.