Blue Ridge Medical Mangement Corporation
NPI 1043739881ActiveOrganization· Surgery, Vascular Surgery· Johnson City, TN
Surgery, Vascular Surgery in Johnson City, Tennessee, registered in NPPES in September 2017. The authorized official on file is Carl S. Kilgore, President.
Overview
| NPI | 1043739881 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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