Blue Ridge Medical Management Corporation
NPI 1659475374 · Addiction Medicine (Psychiatry & Neurology) Physician · Kingsport, TN
Blue Ridge Medical Management Corporation is a Addiction Medicine (Psychiatry & Neurology) Physician organization in Kingsport, TN (NPI 1659475374).
Provider details
- NPI number
- 1659475374
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- C. Kilgore, Senior Vice President(423) 915-5185
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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)
- Doing business as
- Dba Indian Path Pavilion
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2025-09-11
Frequently asked questions
- What is Blue Ridge Medical Management Corporation's NPI number?
- Blue Ridge Medical Management Corporation's National Provider Identifier (NPI) is 1659475374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Ridge Medical Management Corporation?
- Blue Ridge Medical Management Corporation is classified in the NPPES registry as Addiction Medicine (Psychiatry & Neurology) Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Ridge Medical Management Corporation located?
- Blue Ridge Medical Management Corporation's practice location on file with NPPES is 2300 Pavilion Dr, Kingsport, TN 37660-4622.
- What is Blue Ridge Medical Management Corporation's phone number?
- The practice phone number listed in the NPPES registry for Blue Ridge Medical Management Corporation is (423) 392-5500.
- Who is the authorized official for Blue Ridge Medical Management Corporation?
- The authorized official listed on Blue Ridge Medical Management Corporation's NPPES record is C. Kilgore, Senior Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Ridge Medical Management Corporation's NPI active?
- Yes — Blue Ridge Medical Management Corporation's NPI (1659475374) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.