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Blue Ridge Medical Management Corporation

Family Medicine Physician in Elizabethton, TN · enumerated 2010 · authorized official Carl Kilgore, President.

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

National Provider Identifier

1255634564

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Ridge Medical Management Corporation
Other name <Unavail>
Practice address 1497 West Elk Ave, Suite 21, Elizabethton, TN, 37643
Fax (423) 542-7425
Enumeration date Dec 8, 2010
Last updated in NPPES Mar 29, 2019

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Carl Kilgore
Title President

Other identifiers

Identifier Type State Issuer
1526580 Medicaid TN -
020487839 Other TN DEPARTMENT OF LABOR
1255634564 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 1255634564, 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 2019-03-29.