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Blue Ridge Medical Management Corporation

NPI 1730401209ActiveOrganization· Family Medicine· Kingsport, TN

Family Medicine in Kingsport, Tennessee, registered in NPPES in February 2010. The authorized official on file is Carl Steve Kilgore, President.

Overview

NPI1730401209
StatusActive
Entity typeOrganization
NPI issuedFeb 24, 2010
Last updated in NPPESMar 29, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Kingsport

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