Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Ridge Medical Management Corpoartion

Organization Psychiatry Physician · NPI 1417683095

Blue Ridge Medical Management Corpoartion provides Psychiatry Physician services in Big Stone Gap, Virginia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1980 Holton Ave E Ste 103
Big Stone Gap, VA 24219-3367
Phone: (423) 302-3480
Fax: (423) 722-3009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1417683095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Tarte — Enrollment · (423) 302-6565
NPI enumeratedJuly 27, 2022
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing address509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579