Blue Ridge Medical Management Corporation
NPI 1063783751ActiveOrganization· Surgery· Mountain City, TN
Surgery in Mountain City, Tennessee, registered in NPPES in January 2012. The authorized official on file is Carl Steven Kilgore, Ceo.
Overview
| NPI | 1063783751 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2012 |
| Last updated in NPPES | Feb 14, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|