Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Ridge Healthcare Medical Group, Inc

Organization Cardiovascular Disease Physician · NPI 1023376829

Blue Ridge Healthcare Medical Group, Inc provides Cardiovascular Disease Physician services in Lenoir, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1208 Hickory Blvd SW Ste 102
Lenoir, NC 28645-6461
Phone: (828) 991-3278
Fax: (828) 580-3283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 2011-00879 (NC)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 2012-00598 (NC)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 2011-00879 (NC)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 2013-00091 (NC)
Surgery Physician Taxonomy 208600000X · Licence 2009-01071 (NC)
Urology Physician Taxonomy 208800000X · Licence 9900164 (NC)

Record details

NPI number1023376829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Moll — Svp - Cfo · (828) 580-5003
Other names Blue Ridge Multispecialty Clinic - Lenoir; Blue Ridge Multispecialty Clinic - Lenoir
NPI enumeratedApril 30, 2012
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address1208 Hickory Blvd Sw Ste 102, Lenoir, NC 28645-6461

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