Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blue Ridge Medical Management Corporation

Family Medicine Physician in Johnson City, TN · enumerated 2006 · authorized official Carl Kilgore, President.

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

National Provider Identifier

1255341509

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Registry record

Entity type Organization (Type 2)

Legal business name Blue Ridge Medical Management Corporation

Other name <Unavail>

Practice address 1021 W Oakland Ave, Suite 301, Johnson City, TN, 37604

Phone (423) 952-8000

Fax (423) 952-8001

Enumeration date Aug 9, 2006

Last updated in NPPES Oct 1, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities Secondary

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Secondary

Authorized official

Name Carl Kilgore

Title President

Phone (423) 302-3051

Other identifiers

Identifier	Type	State	Issuer
1255341509	Medicaid	VA	-
622968600	Other	TN	DEPARTMENT OF LABOR
3706263	Medicaid	TN	-

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-10-01. Verify at npiregistry.cms.hhs.gov.

Where is Blue Ridge Medical Management Corporation located?

The practice location on file with NPPES is in Johnson City, TN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-01.