MSMG NEUROSURG JC
NPI 1073555934
Neurological Surgery in Johnson City, TN

Active since June 12, 2006
408 N STATE OF FRANKLIN RD, SUITE 42, JOHNSON CITY, TN 37604(423) 431-2350(423) 431-2372 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Msmg Neurosurg Jc NPPES

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

MSMG NEUROSURG JC (NPI 1073555934) is a healthcare organization registered as a neurological surgery in Johnson City, Tennessee and active in the NPI registry since June 2006. The organization lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1073555934
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address408 N STATE OF FRANKLIN RD, SUITE 42Johnson City, TN 37604-6089
Mailing Address408 N State Of Franklin Rd, Suite 42Johnson City, TN 37604-6089 · (423) 431-2350 · Fax (423) 431-2372
Fax(423) 431-2372
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 915-5116
Enumeration DateJune 12, 2006
Last NPPES UpdateApril 4, 2012
✔ NPI 1073555934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
408 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Names 1

Doing Business AsMsmg Neurosurg Jc

Other Identifiers 2

Medicaid3377139TN
Medicare UPIN3709285TN

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Msmg Neurosurg Jc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20031204000996Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

493

Medicare enrollment records show 493 clinicians reassign Medicare billing to Msmg Neurosurg Jc, which bills Medicare for the services they deliver. Of these, 43 practice at this address and 190 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Nurse Practitioner175
Internal Medicine55
Psychiatry42
Family Practice33
Hospitalist28
General Surgery21
Pediatric Medicine21
Neurology19
31 other specialties99

Nearest to this location (20)

See all 493
Nurse Practitioner
NPI 1093081978
408 N STATE OF FRANKLIN RD SUITE 31C
Johnson City, TN 37604
(423) 431-4946
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1154198372
408 N STATE OF FRANKLIN RD STE 400B
Johnson City, TN 37604
(423) 431-4946
Same address
Nurse Practitioner
NPI 1063823185
408 N STATE OF FRANKLIN RD SUITE 31B
Johnson City, TN 37604
(423) 431-4946
✔ PECOSSame address
Infectious Disease
NPI 1184949489
408 N STATE OF FRANKLIN RD SUITE 24
Johnson City, TN 37604
(423) 431-1810
✔ PECOSSame address
Pediatric Medicine
NPI 1750525713
408 N STATE OF FRANKLIN RD SUITE 31B
Johnson City, TN 37604
(423) 431-4946
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1205302700
408 N STATE OF FRANKLIN RD STE 400B
Johnson City, TN 37604
(423) 431-4946
Same address
Neurology
NPI 1568921419
408 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-4946
✔ PECOSSame address
Pediatric Medicine
NPI 1174842348
408 N STATE OF FRANKLIN RD SUITE 31B
Johnson City, TN 37604
(423) 431-4946
✔ PECOSSame address
Gastroenterology
NPI 1740924414
408 N STATE OF FRANKLIN RD STE 400E
Johnson City, TN 37604
(423) 431-4946
✔ PECOSSame address
Endocrinology
NPI 1508929373
408 N STATE OF FRANKLIN RD STE 31B
Johnson City, TN 37604
(423) 431-4946
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1427314616
408 N STATE OF FRANKLIN RD STE 31A
Johnson City, TN 37604
(423) 431-4946
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1851585996
408 N STATE OF FRANKLIN RD SUITE 24 A
Johnson City, TN 37604
(423) 431-1810
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1689938052
408 N STATE OF FRANKLIN RD SUITE 24
Johnson City, TN 37604
(423) 431-1810
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1124129218
410 N STATE OF FRANKLIN RD STE 130
Johnson City, TN 37604
(423) 431-2477
✔ PECOSSame address
Neurology
NPI 1366498206
410 N STATE OF FRANKLIN RD SUITE 135
Johnson City, TN 37604
(423) 431-2350
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1639600653
410 N STATE OF FRANKLIN RD STE 130
Johnson City, TN 37604
(423) 431-2460
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1477058915
410 N STATE OF FRANKLIN RD STE 130
Johnson City, TN 37604
(423) 431-2477
✔ PECOSSame address
Neurosurgery
NPI 1528009198
410 N STATE OF FRANKLIN RD SUITE 120
Johnson City, TN 37604
(423) 431-2350
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1164885893
400 N STATE OF FRANKLIN RD RM 2746
Johnson City, TN 37604
(423) 431-6111
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1144431743
400 N STATE OF FRANKLIN RD RM 2746
Johnson City, TN 37604
(423) 431-6111
✔ PECOS✔ Accepts MedicareSame address
See all 493 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Ridge Medical Management Corporation's NPI number?

The NPI number for Blue Ridge Medical Management Corporation is 1073555934. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Msmg Neurosurg Jc.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 408 N State Of Franklin Rd Suite 42, Johnson City, TN 37604. The listed phone number is (423) 431-2350.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Blue Ridge Medical Management Corporation enrolled in Medicare?

Yes. Blue Ridge Medical Management Corporation is registered in the Medicare PECOS enrollment system.

When is Blue Ridge Medical Management Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Blue Ridge Medical Management Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 493 clinicians in 39 Medicare specialties reassign their Medicare billing to Blue Ridge Medical Management Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (175), Internal Medicine (55) and Psychiatry (42). Of these, 43 practice at this address and 190 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blue Ridge Medical Management Corporation was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.