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

Blue Ridge Medical Management Corporation

Organization Physician Assistant · NPI 1255769501

Blue Ridge Medical Management Corporation provides Physician Assistant services in Johnson City, Tennessee. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

408 N State Of Franklin Rd Ste 31
Johnson City, TN 37604-6089 Not confirmed with CMS for 12 years — call before visiting
Phone: (423) 431-2477
Fax: (423) 431-2478
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1255769501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5000
Other names Msmg Trauma Jc
NPI enumeratedOctober 24, 2013
Last updated in NPPESOctober 24, 2013
Mailing address408 N State Of Franklin Rd, Suite 31, Johnson City, TN 37604-6089

Other providers in Johnson City