Blue Ridge Medical Management Corporation
NPI 1396049938ActiveOrganization· Pediatrics· Kingsport, TN
Pediatrics in Kingsport, Tennessee, registered in NPPES in December 2010. The authorized official on file is Carl S. Kilgore, President.
Overview
| NPI | 1396049938 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2010 |
| Last updated in NPPES | Dec 22, 2010 |
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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