Blue Ridge Pediatric & Adolescent Medicine, Inc
NPI 1114038163 · Pediatrics Physician · Boone, NC
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Ridge Pediatric & Adolescent Medicine, Inc is a Pediatrics Physician organization in Boone, NC (NPI 1114038163).
Provider details
- NPI number
- 1114038163
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Hardee, Office Manager(828) 262-0100
- License
- 39798 (NC)
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
19 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
- 2006-08-31
- Last updated
- 2012-01-10
Frequently asked questions
- What is Blue Ridge Pediatric & Adolescent Medicine, Inc's NPI number?
- Blue Ridge Pediatric & Adolescent Medicine, Inc's National Provider Identifier (NPI) is 1114038163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Ridge Pediatric & Adolescent Medicine, Inc?
- Blue Ridge Pediatric & Adolescent Medicine, Inc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Ridge Pediatric & Adolescent Medicine, Inc located?
- Blue Ridge Pediatric & Adolescent Medicine, Inc's practice location on file with NPPES is 579 Greenway Rd, Boone, NC 28607-4809.
- What is Blue Ridge Pediatric & Adolescent Medicine, Inc's phone number?
- The practice phone number listed in the NPPES registry for Blue Ridge Pediatric & Adolescent Medicine, Inc is (828) 262-0100.
- Does Blue Ridge Pediatric & Adolescent Medicine, Inc accept Medicare?
- Blue Ridge Pediatric & Adolescent Medicine, Inc 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 Pediatric & Adolescent Medicine, Inc?
- The authorized official listed on Blue Ridge Pediatric & Adolescent Medicine, Inc's NPPES record is Laura Hardee, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Ridge Pediatric & Adolescent Medicine, Inc's NPI active?
- Yes — Blue Ridge Pediatric & Adolescent Medicine, Inc's NPI (1114038163) is active in the NPPES registry as of the last update on 2012-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.