Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blue Ridge Medical Management Corpoartion

Neurological Surgery Physician in Johnson City, TN · enumerated 2018 · authorized official Carl Kilgore, President.

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

National Provider Identifier

1417453440

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Registry record

Entity type Organization (Type 2)

Legal business name Blue Ridge Medical Management Corpoartion

Other name <Unavail>

Practice address 701 Med Tech Pkwy Ste 300, Johnson City, TN, 37604

Phone (423) 232-8301

Fax (423) 232-8304

Enumeration date Mar 30, 2018

Last updated in NPPES Mar 29, 2019

Taxonomy & classification

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians Primary

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

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363LA2200X Adult Health 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) 302-3051

Other identifiers

Identifier	Type	State	Issuer
Q035119	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

Where is Blue Ridge Medical Management Corpoartion 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.

Providers at this address

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