NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

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

1962434068

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Blue Ridge Medical Management Corporation
Other name <Unavail>
Practice address 311 Princeton Rd, Suite 7, Johnson City, TN, 37601
Fax (423) 283-4746
Enumeration date Jul 7, 2006
Last updated in NPPES Feb 14, 2013

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Carl Kilgore
Title President

Other identifiers

Identifier Type State Issuer
890117J Medicaid NC -
3702646 Medicaid TN -
CD7031 Other - RAIL ROAD MEDICARE
02571 Other NC BLUE CROSS OF 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.

Read the full guide → Validate an NPI →

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 2013-02-14. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-02-14.