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Blue Ridge Medical Management Corporation

Cardiovascular Disease 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

1740227131

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Ridge Medical Management Corporation
Other name <Unavail>
Practice address 310 N State of Franklin Rd, Suite 400, Johnson City, TN, 37604
Fax (423) 979-6011
Enumeration date Jun 2, 2006
Last updated in NPPES Mar 29, 2019

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LA2100X Acute Care 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

Other identifiers

Identifier Type State Issuer
CA5744 Other TN RAILROAD MEDICARE
3377130 Medicaid TN -
020487820 Other TN DEPARTMENT OF LABOR
1740227131 Medicaid VA -
1740227131 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

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.
Where is Blue Ridge Medical Management Corporation located?
The practice location on file with NPPES is in Johnson City, TN.

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