Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blue Ridge Medical Management Corporation

Internal Medicine Physician in Johnson City, TN · enumerated 2014 · authorized official Carl Kilgore, President.

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

National Provider Identifier

1316357593

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Registry record

Entity type Organization (Type 2)

Legal business name Blue Ridge Medical Management Corporation

Other name <Unavail>

Practice address 408 N State of Franklin Rd, Suite 24 A, Johnson City, TN, 37604

Phone (423) 431-1810

Fax (423) 431-1811

Enumeration date Apr 28, 2014

Last updated in NPPES Jul 8, 2015

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

363A00000X 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

Phone (423) 915-5100

Other identifiers

Identifier	Type	State	Issuer
1316357593	Medicaid	VA	-
1534067	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 2015-07-08. 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 2015-07-08.