Blue Ridge Concierge Medicine LLC
NPI 1013504174 · Family Medicine Physician · Blue Ridge, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Ridge Concierge Medicine LLC is a Family Medicine Physician organization in Blue Ridge, GA (NPI 1013504174).
Provider details
- NPI number
- 1013504174
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raymond Tidman, President(706) 946-4240
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-23
- Last updated
- 2020-12-23
- Certified
- 2020-12-23
Frequently asked questions
- What is Blue Ridge Concierge Medicine LLC's NPI number?
- Blue Ridge Concierge Medicine LLC's National Provider Identifier (NPI) is 1013504174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Ridge Concierge Medicine LLC?
- Blue Ridge Concierge Medicine LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Ridge Concierge Medicine LLC located?
- Blue Ridge Concierge Medicine LLC's practice location on file with NPPES is 101 Riverstone Vis Ste 203, Blue Ridge, GA 30513-6668.
- What is Blue Ridge Concierge Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Ridge Concierge Medicine LLC is (706) 946-4240.
- Does Blue Ridge Concierge Medicine LLC accept Medicare?
- Blue Ridge Concierge Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Ridge Concierge Medicine LLC?
- The authorized official listed on Blue Ridge Concierge Medicine LLC's NPPES record is Raymond Tidman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Ridge Concierge Medicine LLC's NPI active?
- Yes — Blue Ridge Concierge Medicine LLC's NPI (1013504174) is active in the NPPES registry as of the last update on 2020-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.