MSMG GEN SURG MTN
NPI 1063783751
Surgery in Mountain City, TN

Q: What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since January 26, 2012

1901 S SHADY ST, MOUNTAIN CITY, TN 37683(423) 727-1139(423) 727-1173 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2017, Mar 3, 2016 (2 updates tracked since 2016).

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About Msmg Gen Surg Mtn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MSMG GEN SURG MTN (NPI 1063783751) is a healthcare organization registered as a surgery in Mountain City, Tennessee and active in the NPI registry since January 2012. The organization lists Carl Steven Kilgore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063783751

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Location Address1901 S SHADY STMountain City, TN 37683-2021

Mailing Address1901 S Shady StMountain City, TN 37683-2021 · (423) 727-1139 · Fax (423) 727-1173

Phone(423) 727-1139

Fax(423) 727-1173

Organization SubpartNo

Authorized OfficialCarl Steven KilgoreCeo · (423) 915-5116

Enumeration DateJanuary 26, 2012

Last NPPES UpdateFebruary 14, 20172 updates tracked since enumeration

✔ NPI 1063783751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1901 S SHADY ST, Mountain City, TN 37683

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Other Names 1

Doing Business AsMsmg Gen Surg Mtn

Other Identifiers 3

Medicaid1063783751VA

Medicare PIN3709285TN

Medicaid1527050TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA S EVANS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)