OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1962506691 · Internal Medicine Physician · Elizabethton, TN
Provider details
- NPI number
- 1962506691
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- C Kilgore, Senior Vice President(423) 915-5185
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
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
1503 W Elk Ave
Suite 8
Elizabethton, TN 37643-2876
Phone: (423) 542-0400
Fax: (423) 542-0201
Street-level locationGet directions
Mailing address
1503 W Elk Ave
Elizabethton, TN 37643-2876
Other names (DBA / former)
- Doing business as
- Dba Mountain Empire Medical & Surgical Associates
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.