Psychiatry & Neurology, Addiction 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 Plan acceptance stays unpublished until the practice reports it.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 1659475374 · enumerated 2006-09-12 · record updated 2025-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: C. KILGORE, Senior Vice President · (423) 915-5185
Other names: DBA INDIAN PATH PAVILION
Addresses and phones
- Mailing address 2300 PAVILION DR, KINGSPORT, TN, 37660-4622 (423) 392-5500 Fax (423) 392-5597 Google Maps Apple Maps OpenStreetMap
- Practice location 2300 PAVILION DR, KINGSPORT, TN, 37660-4622 (423) 392-5500 Fax (423) 392-5597 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Psychiatry & Neurology, Addiction Medicine 2084A0401X · Primary
In this directory
TN Sullivan County Kingsport Psychiatry & Neurology, Addiction Medicine
Locations and evidence
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Practice location
KINGSPORT, TN, 376604622
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.