Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blue Ridge Medical Management Corporation

Psychiatry 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

1326058272

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Registry record

Entity type Organization (Type 2)

Legal business name Blue Ridge Medical Management Corporation

Other name <Unavail>

Practice address 403 N State of Franklin Rd, Johnson City, TN, 37604

Phone (423) 431-7047

Fax (423) 979-0569

Enumeration date Aug 9, 2006

Last updated in NPPES Mar 29, 2019

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Carl Kilgore

Title President

Phone (423) 302-3051

Other identifiers

Identifier	Type	State	Issuer
3377132	Medicaid	TN	-
801453000	Other	TN	MAGELLAN
CA5744	Other	-	RR MEDICARE
1326058272	Medicaid	VA	-
5908711	Medicaid	NC	-

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 2019-03-29. Verify at npiregistry.cms.hhs.gov.

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