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Blue Ridge Medical Management Corporation

Internal Medicine Physician in Johnson City, TN · enumerated 2015 · authorized official Carl Kilgore, President.

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

National Provider Identifier

1962883678

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Ridge Medical Management Corporation
Other name <Unavail>
Practice address 408 N State of Franklin Rd, Suite 31b, Johnson City, TN, 37604
Phone (423) 431-4946
Fax (423) 431-4947
Enumeration date Jun 18, 2015
Last updated in NPPES May 2, 2025

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
2080P0205X Pediatric Endocrinology Physician Allopathic & Osteopathic Physicians 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
Q013929 Medicaid TN -
1962883678 Medicaid VA -

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

What is the NPI number for Blue Ridge Medical Management Corporation?
The NPI for Blue Ridge Medical Management Corporation is 1962883678, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Blue Ridge Medical Management Corporation?
NPPES lists Carl Kilgore (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-02.