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

Blue Ridge Medical Management Corporation

Organization Physician Assistant · NPI 1255769501

Blue Ridge Medical Management Corporation is a Physician Assistant in Johnson City, Tennessee. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

408 N State Of Franklin Rd Ste 31
Johnson City, TN 37604-6089
Phone: (423) 431-2477
Fax: (423) 431-2478
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1255769501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5000
Other names Msmg Trauma Jc
NPI enumeratedOctober 24, 2013
Last updated in NPPESOctober 24, 2013
Mailing address408 N State Of Franklin Rd, Suite 31, Johnson City, TN 37604-6089

Other providers in Johnson City