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

Blue Ridge Medical Management Corporation

Organization Internal Medicine Physician · NPI 1275851974

Blue Ridge Medical Management Corporation is an Internal Medicine Physician in Johnson City, Tennessee. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
5
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Practice location Address checks out

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone: (423) 431-1810
Fax: (423) 431-1811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1275851974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5100
Other names Msmg Hima Fwch
NPI enumeratedMay 6, 2010
Last updated in NPPESJuly 8, 2015
Mailing address509 Med Tech Pkwy, Suite 100, Johnson City, TN 37604-2578

Other providers in Johnson City