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

Blue Ridge Pediatric & Adolescent Medicine, Inc

Organization Pediatrics Physician · NPI 1114038163

Blue Ridge Pediatric & Adolescent Medicine, Inc provides Pediatrics Physician services in Boone, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
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

579 Greenway Rd Ste 200
Boone, NC 28607-4809 Not confirmed with CMS for 14 years — call before visiting
Phone: (828) 262-0100
Fax: (828) 264-7592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 39798 (NC)

Record details

NPI number1114038163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Hardee — Office Manager · (828) 262-0100
NPI enumeratedAugust 31, 2006
Last updated in NPPESJanuary 10, 2012
Mailing address579 Greenway Rd, Suite 200, Boone, NC 28607-4809

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