Blue Ridge Medical Management Corporation
NPI 1386028215ActiveOrganization· Pediatrics· Johnson City, TN
Pediatrics in Johnson City, Tennessee, registered in NPPES in July 2015. The authorized official on file is Carl Steven Kilgore, President.
Overview
| NPI | 1386028215 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2015 |
| Last updated in NPPES | Mar 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
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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