BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
NPI 1801120654
Family Medicine in Marion, NC
NPI Status: Active since September 28, 2009
Contact Information
2293 SUGAR HILL RD STE D
MARION, NC
ZIP 28752
Phone: (828) 652-8727
Fax: (828) 652-8793
- Organization
- Family Medicine
- Accepts Insurance
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 primary care provider established in Marion, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1801120654 assigned on September 2009. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated March 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's
- NPI
- 1801120654
- Provider Legal Name
- BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2293 SUGAR HILL RD STE D MARION, NC 28752
- Location Phone
- (828) 652-8727
- Location Fax
- (828) 652-8793
- Mailing Address
- 2293 SUGAR HILL RD STE D MARION, NC 28752
- Mailing Phone
- (828) 652-8727
- Mailing Fax
- (828) 652-8793
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-28-2009
- Last Update Date
- 03-12-2025
- Code Navigator
A primary care provider (PCP) like Blue Ridge Healthcare Medical Group, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X 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:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - 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
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- 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
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 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 Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
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.
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 |
|---|---|---|---|
| 02082 | OTHER (01) | NC | BLUE CROSS BLUE SHIELD OF NC |
| 34D0699936 | OTHER (01) | NC | CLIA |
| 8902082 | MEDICAID (05) | NC |
Reviews for BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 0 | 1 | 1 | 2 | 0 | 6 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 2 | 2 | 0 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 2 + 2 + 0 + 6 + 1 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1801120654 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740272558 | RUTH B RAFFIELD F.N.P. Individual | Nurse Practitioner (Family) | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1962492306 | PAMELA KAY BARTELS M.D. Individual | Family Medicine | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1083696595 | DR. ANGELA J BRYAN M.D. Individual | Family Medicine | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1508860271 | MS. LALISA ANN CARPENTER FNP-C Individual | Nurse Practitioner (Family) | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1730179193 | AMY SMITH ENDE M.D. Individual | Pediatrics | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1679564744 | WILLIAM VARN FOWLER M.D. Individual | Family Medicine | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1295088748 | ZED ALEX MANSFIELD P.A.-C Individual | Physician Assistant (Medical) | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1679884449 | KEDRON M HENDLEY FNP Individual | Nurse Practitioner | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1891950697 | MRS. ELIZABETH MERRILL MACKINNON NP-C Individual | Nurse Practitioner (Family) | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1154764025 | MS. JENNIFER ANN SCHIRNER PA-C Individual | Physician Assistant | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1538444807 | MRS. JESSICA DAWN PATRINO PA-C Individual | Physician Assistant | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1730662610 | REBEKAH CLARK ELLIOTT PA-C Individual | Physician Assistant | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1144545831 | ERIK FRANK JOHANSON PA-C Individual | Physician Assistant | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1225402696 | AMY SHELTON UMBEL PA Individual | Physician Assistant | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1801511175 | MS. KATIE ELIZABETH WILKERSON PA Individual | Physician Assistant | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
| 1801592738 | EMILY HEIEN Individual | Nurse Practitioner (Family) | 2293 SUGAR HILL RD STE D MARION, NC 28752 (828) 652-8727 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801120654, enumerated in the NPI registry as an "organization" on September 28, 2009
The provider is located at 2293 Sugar Hill Rd Ste D Marion, Nc 28752 and the phone number is (828) 652-8727
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 28, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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