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Blue Ridge Medical Management Corporation

Psychiatry 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

1659476992

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Ridge Medical Management Corporation
Other name <Unavail>
Practice address 2000 Brookside Dr, 7th Floor Geriatric Psychic Unit, Kingsport, TN, 37660
Fax (423) 857-7711
Enumeration date Sep 13, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name C. Kilgore
Title Senior Vice President

Other identifiers

Identifier Type State Issuer
3732722 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 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 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.