Organization · Type 2 NPI

Blue Ridge Medical Management Corporation

Internal Medicine Physician · Johnson City, TN

NPI number 1962883678 Active

Practice location

408 N State Of Franklin Rd, Suite 31B
Johnson City, TN 37604-6089

Fax (423) 431-4947

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician Primary	207R00000X	None listed
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	None listed
Pediatric Endocrinology Physician	2080P0205X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

36 other providers at this address

Other internal medicine physician providers in Johnson City

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NPI record

NPI: 1962883678
Entity type: Organization (Type 2)
Issued: Jun 18, 2015
Last updated: May 2, 2025
Status: Active

Other names

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Ballad Health Medical Associates · doing business as
MSMG Pedicatric Endocrinology · doing business as
Bhma Pediatric Endocrinology Johnson City · other name

Authorized official

Carl Steven Kilgore
President
(423) 302-3051

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962883678

Blue Ridge Medical Management Corporation's National Provider Identifier is 1962883678, issued on Jun 18, 2015. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Johnson City, TN. The record was last updated on May 2, 2025.