Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ridge Medical Management

Organization Vascular Surgery Physician · NPI 1114340445

Blue Ridge Medical Management is a Vascular Surgery Physician in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2014.

Licensed in
TN
In the registry since
2014

Practice location Address checks out

310 N State Of Franklin Rd Ste 101B
Johnson City, TN 37604-6008
Phone: (423) 929-7393
Fax: (423) 929-0872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 48573 (TN)

Record details

NPI number1114340445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President/Ceo · (423) 915-5185
Other names Msmg Vascular Surgery Jc
NPI enumeratedJanuary 22, 2014
Last updated in NPPESFebruary 27, 2017
Mailing address310 N State Of Franklin Rd, Suite 101b, Johnson City, TN 37604-6008

Other providers in Johnson City