Blue Ridge Medical Management Corporation
NPI 1255769501ActiveOrganization· Physician Assistant· Johnson City, TN
Physician Assistant in Johnson City, Tennessee, registered in NPPES in October 2013. The authorized official on file is Carl Steven Kilgore, President.
Overview
| NPI | 1255769501 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2013 |
| Last updated in NPPES | Oct 24, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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