Blue Ridge Medical Mangement Corporation
NPI 1043739881 · Vascular Surgery Physician · Johnson City, TN
Blue Ridge Medical Mangement Corporation is a Vascular Surgery Physician organization in Johnson City, TN (NPI 1043739881).
Provider details
- NPI number
- 1043739881
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Kilgore, President(423) 302-3051
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Bhma Vascular Surgery Johnson City
- Doing business as
- Ballad Health Medical Associates
- Doing business as
- Msmg Vascular Surgery Jc
Registry dates
- Enumerated
- 2017-09-13
- Last updated
- 2022-07-21
Frequently asked questions
- What is Blue Ridge Medical Mangement Corporation's NPI number?
- Blue Ridge Medical Mangement Corporation's National Provider Identifier (NPI) is 1043739881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Ridge Medical Mangement Corporation?
- Blue Ridge Medical Mangement Corporation is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Ridge Medical Mangement Corporation located?
- Blue Ridge Medical Mangement Corporation's practice location on file with NPPES is 2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584.
- What is Blue Ridge Medical Mangement Corporation's phone number?
- The practice phone number listed in the NPPES registry for Blue Ridge Medical Mangement Corporation is (423) 434-7400.
- Who is the authorized official for Blue Ridge Medical Mangement Corporation?
- The authorized official listed on Blue Ridge Medical Mangement Corporation's NPPES record is Carl Kilgore, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Ridge Medical Mangement Corporation's NPI active?
- Yes — Blue Ridge Medical Mangement Corporation's NPI (1043739881) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.