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

Blue Ridge Healthcare Medical Group, Inc

Organization Cardiovascular Disease Physician · NPI 1023376829

Blue Ridge Healthcare Medical Group, Inc is a Cardiovascular Disease Physician 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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