Blue Ridge Medical Management Corporation
NPI 1912137506ActiveOrganization· Hospitalist· Johnson City, TN
Hospitalist in Johnson City, Tennessee, registered in NPPES in July 2009. The authorized official on file is Carl Steven Kilgore, President.
Overview
| NPI | 1912137506 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2009 |
| Last updated in NPPES | Aug 7, 2023 |
| Certified by provider | Aug 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | — | — |
| Internal Medicine | 207R00000X | — | TN |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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