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

Blue Ridge Medical Management Corporation

Organization Family Medicine Physician · NPI 1629432828

Blue Ridge Medical Management Corporation provides Family Medicine Physician services in Elizabethton, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016

Practice location Address checks out

1497 W Elk Ave Ste 20
Elizabethton, TN 37643-2895 Not confirmed with CMS for 10 years — call before visiting
Phone: (423) 542-7400
Fax: (423) 542-7405
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (TN)

Record details

NPI number1629432828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5121
Other names Msmg Fm Elizabethton B
NPI enumeratedApril 13, 2016
Last updated in NPPESOctober 7, 2016
Mailing address1497 W Elk Ave, Suite 20, Elizabethton, TN 37643-2895

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