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

Blue Ridge Medical Group PA

Organization Primary Care Clinic/Center · NPI 1770632077

Blue Ridge Medical Group PA is a Primary Care Clinic/Center in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3214 Charles B Root Wynd Ste 217
Raleigh, NC 27612-5440
Phone: (919) 789-0909
Fax: (919) 789-9168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 9501610 (NC)

Record details

NPI number1770632077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official M.Hisham Mohamed — President · (919) 789-0909
NPI enumeratedJanuary 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3214 Charles B Root Wynd, Suite 217, Raleigh, NC 27612-5440

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