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

Blue Ridge Medical Management Corporation

Organization Family Medicine Physician · NPI 1316357593

Blue Ridge Medical Management Corporation is a Family Medicine Physician in Johnson City, Tennessee. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
4

Practice location Address checks out

408 N State Of Franklin Rd Ste 24 A
Johnson City, TN 37604-6089
Phone: (423) 431-1810
Fax: (423) 431-1811
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1316357593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5100
Other names Msmg Extended Care Jc
NPI enumeratedApril 28, 2014
Last updated in NPPESJuly 8, 2015
Mailing address509 Med Tech Pkwy, Suite 100, Johnson City, TN 37604-2578

Other providers in Johnson City