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

Blue Ridge Medical Management Corporation

Organization Neurological Surgery Physician · NPI 1073555934

Blue Ridge Medical Management Corporation provides Neurological Surgery Physician services in Johnson City, Tennessee. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

408 N State Of Franklin Rd Ste 42
Johnson City, TN 37604-6089 Not confirmed with CMS for 14 years — call before visiting
Phone: (423) 431-2350
Fax: (423) 431-2372
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1073555934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5116
Other names Msmg Neurosurg Jc
NPI enumeratedJune 12, 2006
Last updated in NPPESApril 4, 2012
Mailing address408 N State Of Franklin Rd, Suite 42, Johnson City, TN 37604-6089

Other providers in Johnson City