Blue Ridge Pediatrics LLC
Blue Ridge Pediatrics LLC is a healthcare organization registered as Pediatric Adolescent Medicine Physician in Seneca, SC, holding Type 2 (organization) NPI 1457324907 since 2006. The authorized official on file is Carey Gully, Owner/Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457324907 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blue Ridge Pediatrics LLC |
| Practice address | 457-B HIGHWAY 123 BYPASS, Seneca, SC, 29678 |
| Phone | 8648884464 |
| Fax | 8648884462 |
| Enumeration date | 2006-02-07 |
| Last updated in NPPES | 2011-01-25 |
Authorized official
| Name | Carey Gully |
|---|---|
| Title | Owner/Physician |
| Phone | 8648884464 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080A0000X | Pediatric Adolescent Medicine Physician | Secondary | 101794 | SC |
| 2080A0000X | Pediatric Adolescent Medicine Physician | Primary | 246601 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHC195 | Medicaid | SC | — |
| GP1060 | Medicaid | SC | — |
Copy-ready billing details
Provider: Blue Ridge Pediatrics LLC NPI: 1457324907 Taxonomy: 2080A0000X (Pediatric Adolescent Medicine Physician) Address: 457-B HIGHWAY 123 BYPASS, Seneca, SC, 29678
Verify this record
Cross-check NPI 1457324907 against the authoritative CMS record: view Blue Ridge Pediatrics LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Blue Ridge Pediatrics LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-25.