Blue Ridge Medical Management Corpoartion
NPI 1932617271ActiveOrganization· Internal Medicine· Johnson City, TN
Internal Medicine in Johnson City, Tennessee, registered in NPPES in January 2018. The authorized official on file is Carl Kilgore, President.
Overview
| NPI | 1932617271 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2018 |
| Last updated in NPPES | May 2, 2025 |
| Certified by provider | May 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Orthopaedic Surgery, Pediatric Orthopaedic Surgery | 207XP3100X | — | — |
| Pediatrics, Sports Medicine | 2080S0010X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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