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

Blue Ridge Medical Management Corpoartion

Organization Psychiatry Physician · NPI 1417683095

Blue Ridge Medical Management Corpoartion is a Psychiatry Physician in Big Stone Gap, Virginia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1980 Holton Ave E Ste 103
Big Stone Gap, VA 24219-3367
Phone: (423) 302-3480
Fax: (423) 722-3009
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1417683095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Tarte — Enrollment · (423) 302-6565
NPI enumeratedJuly 27, 2022
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing address509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579