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Blue Ridge Medical Management Corporation

Specialist in Elizabethton, TN · enumerated 2009 · authorized official Carl Kilgore, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083854384

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Ridge Medical Management Corporation
Other name <Unavail>
Practice address 1503 W Elk Ave, Suite 3b, Elizabethton, TN, 37643
Phone (423) 543-7168
Fax (423) 542-3814
Enumeration date Feb 26, 2009
Last updated in NPPES Oct 26, 2010

Taxonomy & classification

174400000X Specialist Other Service Providers Primary

Authorized official

Name Carl Kilgore
Title President
Phone (423) 915-5100

Other identifiers

Identifier Type State Issuer
1513182 Medicaid TN -
1750365433 Medicaid VA -

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.

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Frequently asked questions

What is the NPI number for Blue Ridge Medical Management Corporation?
The NPI for Blue Ridge Medical Management Corporation is 1083854384, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Blue Ridge Medical Management Corporation?
NPPES lists Carl Kilgore (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-10-26.