BLUE RIDGE REGIONAL HOSPITAL, INC. — NPI 1699918870 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine in SPRUCE PINE, NC)

CMS-1500 Box 24J / 33a • NPI

1699918870

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208VP0000X (CMS 72)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine

Box 32 Service Location & ZIP+4

189 HOSPITAL DR, SPRUCE PINE, NC, 28777-3035

✓ 9-Digit EDI 837 ZIP+4 (28777-3035)

Practice Phone & Referral Fax

(828) 766-3555

Fax: (828) 766-3008

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1699918870 (BLUE RIDGE REGIONAL HOSPITAL, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1699918870` (NPI-2 Organization / Facility)
Provider / Legal Name	BLUE RIDGE REGIONAL HOSPITAL, INC.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine NUCC Code: `208VP0000X` (N/A)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	189 HOSPITAL DR, SPRUCE PINE, NC, 28777-3035
Practice Telephone / Fax	Tel: (828) 766-3555 \| Fax: (828) 766-3008
Administrative Mailing Address	PO BOX 602373, CHARLOTTE, NC, 28260-2373
Enumeration & Last Sync	Enumerated: 2009-04-17 \| CMS Record Updated: 2017-04-28
Authorized Official	RHONDA MILLER (Vice President-Revenue Cycle)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

189 HOSPITAL DR, SPRUCE PINE, NC, 28777-3035

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Plain-English Taxonomy & CMS Crosswalk (208VP0000X)

What Does Taxonomy Code 208VP0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208VP0000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 72 (Physician/Pain Management)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BLUE RIDGE REGIONAL HOSPITAL, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207L00000X` — Anesthesiology Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: NC \| License: `Verified` \| Primary: Secondary
`207LP2900X` — Anesthesiology, Pain Medicine Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: NC \| License: `Verified` \| Primary: Secondary
`208VP0014X` — Pain Medicine, Interventional Pain Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine	State: NC \| License: `Verified` \| Primary: Secondary
`208100000X` — Physical Medicine & Rehabilitation Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation	State: NC \| License: `Verified` \| Primary: Secondary
`2081P2900X` — Physical Medicine & Rehabilitation, Pain Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine	State: NC \| License: `Verified` \| Primary: Secondary
`103T00000X` — Psychologist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist	State: NC \| License: `Verified` \| Primary: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: NC \| License: `Verified` \| Primary: Secondary
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant	State: NC \| License: `Verified` \| Primary: Secondary
`208VP0000X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine	State: NC \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BLUE RIDGE REGIONAL HOSPITAL, INC. (NPI #1699918870)