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

Blue Ridge Medical Management Corporation

Organization Surgery Physician · NPI 1063783751

Blue Ridge Medical Management Corporation provides Surgery Physician services in Mountain City, Tennessee. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1901 S Shady St
Mountain City, TN 37683-2021
Phone: (423) 727-1139
Fax: (423) 727-1173
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1063783751
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — Ceo · (423) 915-5116
Other names Msmg Gen Surg Mtn
NPI enumeratedJanuary 26, 2012
Last updated in NPPESFebruary 14, 2017
Mailing address1901 S Shady St, Mountain City, TN 37683-2021