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

Blue Ridge Medical Management Corporation

Organization Pediatrics Physician · NPI 1396049938

Blue Ridge Medical Management Corporation is a Pediatrics Physician in Kingsport, Tennessee. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

2204 Pavilion Dr Ste 210
Kingsport, TN 37660-4657
Phone: (423) 224-3933
Fax: (423) 224-3934
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1396049938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5100
Other names Msmg Peds Kpt
NPI enumeratedDecember 22, 2010
Last updated in NPPESDecember 22, 2010
Mailing address2204 Pavilion Dr, Suite 210, Kingsport, TN 37660-4657

Other providers in Kingsport