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Blue Ridge Medical Management Corporation

Trauma Surgery Physician in Johnson City, TN · enumerated 2010 · authorized official Carl Kilgore, President/Ceo.

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

National Provider Identifier

1093016024

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Ridge Medical Management Corporation
Other name <Unavail>
Practice address 410 N State of Franklin Rd, Suite 130, Johnson City, TN, 37604
Fax (423) 431-2478
Enumeration date Nov 8, 2010
Last updated in NPPES Mar 28, 2019

Taxonomy & classification

207XX0801X Orthopaedic Trauma Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians Primary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Carl Kilgore
Title President/Ceo

Other identifiers

Identifier Type State Issuer
7100163800 Medicaid KY -
1522339 Medicaid TN -
5917230 Medicaid NC -
CA5744 Other TN RAIL ROAD MEDICARE
020487825 Other TN DEPARTMENT OF LABOR
1093016024 Medicaid VA -
7100203970 Medicaid KY -

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 1093016024, 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/Ceo) 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 2019-03-28.