Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blue Ridge Medical Management Corporation

Internal Medicine Physician in Johnson City, TN · enumerated 2010 · authorized official Carl Kilgore, President.

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

National Provider Identifier

1275851974

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Registry record

Entity type Organization (Type 2)

Legal business name Blue Ridge Medical Management Corporation

Other name <Unavail>

Practice address 300 Med Tech Pkwy, Johnson City, TN, 37604

Phone (423) 431-1810

Fax (423) 431-1811

Enumeration date May 6, 2010

Last updated in NPPES Jul 8, 2015

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

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

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Carl Kilgore

Title President

Phone (423) 915-5100

Other identifiers

Identifier	Type	State	Issuer
4344805	Other	TN	BLUECARE
1520040	Medicaid	TN	-
1275851974	Medicaid	VA	-
7100118880	Medicaid	KY	-
7100161370	Medicaid	KY	-
CA5744	Other	TN	RR MEDICARE

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

Where is Blue Ridge Medical Management Corporation located?

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-07-08. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-08.