Blue Ridge Medical Management
NPI 1114340445ActiveOrganization· Surgery, Vascular Surgery· Johnson City, TN
Surgery, Vascular Surgery in Johnson City, Tennessee, registered in NPPES in January 2014. The authorized official on file is Carl Steven Kilgore, President/Ceo.
Overview
| NPI | 1114340445 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2014 |
| Last updated in NPPES | Feb 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 48573 | TN |
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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