Thoracic Surgery (Cardiothoracic Vascular Surgery)
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1144458332 · enumerated 2009-06-25 · record updated 2010-10-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CARL KILGORE, President · (423) 915-5100
Other names: MSMG CVT KPT
Addresses and phones
- Mailing address 2205 PAVILION DR, SUITE 102, KINGSPORT, TN, 37660-4641 (423) 929-7393 Fax (423) 929-1427 Google Maps Apple Maps OpenStreetMap
- Practice location 2205 PAVILION DR, SUITE 102, KINGSPORT, TN, 37660-4641 (423) 929-7393 Fax (423) 929-1427 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Physician Assistant, Surgical 363AS0400X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X · Primary
In this directory
TN Sullivan County Kingsport Thoracic Surgery (Cardiothoracic Vascular Surgery)
Locations and evidence
-
Practice location
KINGSPORT, TN, 376604641
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.