Blue Ridge Medical Management Corporation
NPI 1356472880ActiveOrganization· Internal Medicine· Johnson City, TN
Internal Medicine in Johnson City, Tennessee, registered in NPPES in March 2007. The authorized official on file is Carl Steven Kilogore, President.
Overview
| NPI | 1356472880 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2007 |
| Last updated in NPPES | May 2, 2025 |
| Certified by provider | May 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Critical Care Medicine | 207RC0200X | — | — |
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 |
|---|
Other Internal Medicine providers in Johnson City
- 1861013864
- 1932617271
- 1043688385
- 1053762112
- 1134500218
- 1275851974
- 1316357593
- 1619349578
- 1841770864
- 1922574474
- 1942520267
- 1962883678