Internal Medicine
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 Plan acceptance stays unpublished until the practice reports it.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 1316357593 · enumerated 2014-04-28 · record updated 2015-07-08. 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 EXTENDED CARE JC
Addresses and phones
- Practice location 408 N STATE OF FRANKLIN RD, SUITE 24 A, JOHNSON CITY, TN, 37604-6089 (423) 431-1810 Fax (423) 431-1811 Google Maps Apple Maps OpenStreetMap
- Mailing address 509 MED TECH PKWY, SUITE 100, JOHNSON CITY, TN, 37604-2578 (423) 302-6882 Fax (423) 952-2147 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X
- Physician Assistant 363A00000X
- Nurse Practitioner 363L00000X
- Internal Medicine 207R00000X · Primary
In this directory
Locations and evidence
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Practice location
JOHNSON CITY, TN, 376046089
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.