Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ridge Concierge Medicine LLC

Organization Family Medicine Physician · NPI 1013504174

Blue Ridge Concierge Medicine LLC is a Family Medicine Physician in Blue Ridge, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Riverstone Vis Ste 203
Blue Ridge, GA 30513-6668
Phone: (706) 946-4240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1013504174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Tidman — President · (706) 946-4240
NPI enumeratedDecember 23, 2020
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address101 Riverstone Vis Ste 203, Blue Ridge, GA 30513-6668

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