BLUE RIDGE MEDICAL MANAGEMENT CORPORATION


Address: 1901 S Shady St Ste A, Mountain City, TN 37683-2021
Phone: 4237271103

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI# 1255816252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255816252
Entity Type Organization
Organization Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Other Organization Name MSMG IP SERVICES JOHNSON COUNTY
Practice Address 1901 S Shady St Ste A
Mountain City
TN 37683-2021
Practice Telephone 4237271103
Practice Fax Number 4237271140
Mailing Telephone 4237271103
Mailing Fax Number 4237271140
Enumeration Date 2018-09-26
Last Update Date 2019-03-29
Authorized Official Name CARL KILGORE (PRESIDENT)
Authorized Official Telephone 4233023051
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Ballad Health Medical Associates Doing Business As Name - Organization
BHMA Inpatient Services JCCH Other Name - Individual/Organization
MSMG IP Services Johnson County Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1588128755 Blue Ridge Medical Management Corporation Family Medicine 2030 Temple Hill Rd Ste B, Erwin, TN 37650-8721 2019-01-22
1558831115 Blue Ridge Medical Management Corporation Internal Medicine 404 Bemberg Rd, Elizabethton, TN 37643 2018-11-27
1457821019 Blue Ridge Medical Management Corporation Internal Medicine 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 2018-11-27
1184105272 Blue Ridge Medical Management Corporation Ophthalmology 410 N State of Franklin Rd Ste 130b, Johnson City, TN 37604-6972 2018-08-27
1841770864 Blue Ridge Medical Management Corporation Pediatrics 408 N State of Franklin Rd Ste 31g, Johnson City, TN 37604-6088 2018-08-20
1568958775 Blue Ridge Medical Management Corporation Urology 408 N State of Franklin Rd Ste 31f, Johnson City, TN 37604-6088 2018-07-11
1477055317 Blue Ridge Medical Management Corporation Urology 16000 Johnston Memorial Dr Ste 309, Abingdon, VA 24211-7664 2018-03-07
1669903803 Blue Ridge Medical Management Corporation Internal Medicine 1497 W Elk Ave Ste 22b, Elizabethton, TN 37643-2896 2017-03-21
1245771757 Blue Ridge Medical Management Corporation Internal Medicine 1410 Park Ave Nw, Norton, VA 24273 2017-03-16
1730542473 Blue Ridge Medical Management Corporation Family Medicine 3175 Linden Dr, Ste 3, Bristol, VA 24202-5849 2016-03-31

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities BLUE RIDGE MEDICAL MANAGEMENT CORPORATION 303 Med Tech Parkway, Johnson City, Tennessee 37604
North Carolina Corporations Blue Ridge Medical Management Corporation 160 Mine Lake Ct Ste 200, Raleigh, NC 27615

Office Location

Street Address 1901 S SHADY ST STE A
City MOUNTAIN CITY
State TN
Zip Code 37683-2021

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245749126 Sugaree Ganzman Registered Nurse 277 Trout Run Rd, Mountain City, TN 37683 2017-09-24
1013390764 Emily B. Mcqueen Nurse Practitioner 1901 South Shady Street, Mountain City, TN 37683 2015-06-30
1972917755 Kelly Horne Singleton Nurse Practitioner 3916 Hwy 421 South, Mountain City, TN 37683 2014-06-19
1548496557 Michelle Wilson Nurse Practitioner 1901 S. Shady Street, Mountain City, TN 37683 2009-06-04
1710025069 Sheila Annette Porter Counselor 318 Donnelly Street, Mtn City, TN 37683 2007-02-01
1619050390 Brandy Lynn Bennett Case Manager/Care Coordinator 318 Donnelley Street, Johnson Co Counsel Cent, Mtn City, TN 37683 2006-10-24
1811086317 Robb R Miller Counselor 318 Donnelley St, Johnson County Counseling Center, Mountain City, TN 37683 2006-10-12
1700834678 Margaret Grace Steward Pharmacist 1641 South Shady St, Mountain City, TN 37683 2006-05-04
1184169658 Wanda Jarrett Nurse Practitioner 1901 S Shady St, Mountain City, TN 37683 2016-12-20
1558797399 Mollie E Tolan Nurse Practitioner 1901 S. Shady Street, Johnson City, TN 37683 2013-09-25
Find all providers in zip 37683

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588119986 Sisters Caring Hearts Family Medicine Inc Clinic/Center 412 Donnelly St, Mountain City, TN 37683-1512 2016-08-16
1548886385 Northeast Tennessee Health and Home Care Pllc Clinic/Center 100 Kellogg Dr, Mountain City, TN 37683-4077 2020-06-17
1326467259 Donald F Tarr Md Clinic/Center 4200 Cold Springs Rd, Mountain City, TN 37683-8041 2014-04-08
1356529739 Donald R Walters Mdpc Clinic/Center 212 N Church St, Mountain City, TN 37683-1368 2008-02-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780281527 Braxton Medical Clinic, LLC Clinic/Center 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 2020-10-05
1629689674 Saint Thomas Medical Partners Clinic/Center 220 West Jefferson Pike, Murfreesboro, TN 37129 2020-08-13
1700411592 Fentress Family Care LLC Clinic/Center 1010 Old Highway 127 S, Jamestown, TN 38556-5648 2020-03-11
1831724822 Guiding Star Memphis Clinic/Center 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 2020-03-10
1407486764 Elijahs Dream Compassionate Care Clinic/Center 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 2020-01-24
1518506542 Faith Medical Group, Pllc Clinic/Center 500 Mcfarland St Ste E, Morristown, TN 37814-3992 2019-12-20
1366080582 Matthew E. Schantz, M.d. Clinic/Center 206 S Military St Ste 1, Loretto, TN 38469-2101 2019-12-18
1114563749 Step One Medical Associates PC Clinic/Center 4502 Bristol Hwy, Johnson City, TN 37601-2936 2019-11-19
1023665403 Elite Healthcare, LLC Clinic/Center 117 N 3rd St, Kingston, TN 37763-2842 2019-08-21
1083266381 Get Into Shape Md Clinic/Center 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 2019-07-16
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Competitor

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City MOUNTAIN CITY
Zip Code 37683

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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