Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blue Ridge Medical Management Corporation

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Johnson City, TN · enumerated 2007 · authorized official C Kilgore, President.

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

National Provider Identifier

1215082730

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Registry record

Entity type Organization (Type 2)

Legal business name Blue Ridge Medical Management Corporation

Other name <Unavail>

Practice address 310 N State of Franklin Rd, Suite 101, Johnson City, TN, 37604

Phone (423) 929-7393

Fax (423) 929-0872

Enumeration date Jan 24, 2007

Last updated in NPPES Mar 29, 2019

Taxonomy & classification

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Primary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name C Kilgore

Title President

Phone (423) 302-3051

Other identifiers

Identifier	Type	State	Issuer
3732723	Medicaid	TN	-
7100008280	Medicaid	KY	-
7100170580	Medicaid	KY	-
DF7910	Other	TN	RAILROAD MEDICARE
020487811	Other	TN	DEPARTMENT OF LABOR/FECA
1215082730	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 a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Blue Ridge Medical Management Corporation?

Blue Ridge Medical Management Corporation is registered in NPPES as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-29.