Blue Ridge Medical Management Corporation
NPI 1962434068ActiveOrganization· Internal Medicine, Cardiovascular Disease· Johnson City, TN
Internal Medicine, Cardiovascular Disease in Johnson City, Tennessee, registered in NPPES in July 2006. The authorized official on file is Carl S. Kilgore, President.
Overview
| NPI | 1962434068 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Feb 14, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
| 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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