BLUE RIDGE WOMEN'S CENTER, PA — NPI 1912092867 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in ELKIN, NC)

CMS-1500 Box 24J / 33a • NPI

1912092867

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207V00000X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

150 PARKWOOD DR, ELKIN, NC, 28621-2430

✓ 9-Digit EDI 837 ZIP+4 (28621-2430)

Practice Phone & Referral Fax

(336) 835-5945

Fax: (336) 835-5974

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1912092867 (BLUE RIDGE WOMEN'S CENTER, PA) 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	`1912092867` (NPI-2 Organization / Facility)
Provider / Legal Name	BLUE RIDGE WOMEN'S CENTER, PA
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207V00000X` (Obstetrics & Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	150 PARKWOOD DR, ELKIN, NC, 28621-2430
Practice Telephone / Fax	Tel: (336) 835-5945 \| Fax: (336) 835-5974
Administrative Mailing Address	150 PARKWOOD DR, ELKIN, NC, 28621-2430
Enumeration & Last Sync	Enumerated: 2006-10-04 \| CMS Record Updated: 2009-11-11
Authorized Official	JOHN VENUS (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

150 PARKWOOD DR, ELKIN, NC, 28621-2430

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Plain-English Taxonomy & CMS Crosswalk (207V00000X)

What Does Taxonomy Code 207V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BLUE RIDGE WOMEN'S CENTER, PA)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: NC \| License: `200400614` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BLUE RIDGE WOMEN'S CENTER, PA (NPI #1912092867)