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 Surgery Physician · NPI 1740558949

Blue Ridge Healthcare Medical Group, Inc is a Surgery Physician in Connelly Springs, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
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

845 Malcolm Blvd
Connelly Springs, NC 28612-8615
Phone: (828) 580-3555
Fax: (828) 874-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 969601640 (NC)

Record details

NPI number1740558949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Moll — Svp-Cfo · (828) 580-5003
Other names Alan F. Jacks, Md, Pa
NPI enumeratedDecember 2, 2011
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address845 Malcolm Boulevard, Connelly Springs, NC 28612-8615

Other providers in Connelly Springs