Blue Ridge Medical Management Corporation
NPI 1093016024ActiveOrganization· Surgery, Trauma Surgery· Johnson City, TN
Surgery, Trauma Surgery in Johnson City, Tennessee, registered in NPPES in November 2010. The authorized official on file is Carl S. Kilgore, President/Ceo.
Overview
| NPI | 1093016024 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2010 |
| Last updated in NPPES | Mar 28, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | — | — |
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | — | — |
| Surgery | 208600000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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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