Blue Ridge Medical Group PA
NPI 1770632077 · Primary Care Clinic/Center · Raleigh, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Ridge Medical Group PA is a Primary Care Clinic/Center organization in Raleigh, NC (NPI 1770632077).
Provider details
- NPI number
- 1770632077
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- M.hisham Mohamed, President(919) 789-0909
- License
- 9501610 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
- 2007-01-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Blue Ridge Medical Group PA's NPI number?
- Blue Ridge Medical Group PA's National Provider Identifier (NPI) is 1770632077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Ridge Medical Group PA?
- Blue Ridge Medical Group PA is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blue Ridge Medical Group PA located?
- Blue Ridge Medical Group PA's practice location on file with NPPES is 3214 Charles B Root Wynd, Raleigh, NC 27612-5440.
- What is Blue Ridge Medical Group PA's phone number?
- The practice phone number listed in the NPPES registry for Blue Ridge Medical Group PA is (919) 789-0909.
- Does Blue Ridge Medical Group PA accept Medicare?
- Blue Ridge Medical Group PA 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 Medical Group PA?
- The authorized official listed on Blue Ridge Medical Group PA's NPPES record is M.hisham Mohamed, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Ridge Medical Group PA's NPI active?
- Yes — Blue Ridge Medical Group PA's NPI (1770632077) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.