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Blue Ridge Medical Management Corporation

Cardiovascular Disease Physician in Kingsport, TN · enumerated 2006 · authorized official C Kilgore, Senior Vice President.

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

National Provider Identifier

1487690434

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Ridge Medical Management Corporation
Other name <Unavail>
Practice address 2205 Pavilion Dr, Suite 201, Kingsport, TN, 37660
Fax (423) 857-7655
Enumeration date Jun 20, 2006
Last updated in NPPES Mar 29, 2019

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name C Kilgore
Title Senior Vice President

Other identifiers

Identifier Type State Issuer
CA5744 Other TN RAILROAD MEDICARE
3716299 Medicaid TN -
1487690434 Medicaid VA -
7100080500 Medicaid KY -
020487806 Other TN DEPARTMENT OF LABOR

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 Kingsport, 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.