Blue Ridge Medical Management Corporation
NPI 1831979186ActiveOrganization· Pediatrics· Johnson City, TN
Pediatrics in Johnson City, Tennessee, registered in NPPES in October 2023, part of Blue Ridge Medical Management Corporation. The authorized official on file is Patricia Tarte, Enrollment Supervisor.
Overview
| NPI | 1831979186 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Blue Ridge Medical Management Corporation |
| NPI issued | Oct 4, 2023 |
| Last updated in NPPES | Oct 4, 2023 |
| Certified by provider | Oct 4, 2023 |
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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