MSMG GEN SURG ELIZ B
NPI 1083854384
Specialist in Elizabethton, TN

Active since February 26, 2009
1503 W ELK AVE, SUITE 3B, ELIZABETHTON, TN 37643(423) 543-7168(423) 542-3814 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Msmg Gen Surg Eliz B NPPES

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

MSMG GEN SURG ELIZ B (NPI 1083854384) is a healthcare organization registered as a specialist in Elizabethton, Tennessee and active in the NPI registry since February 2009. The organization lists Carl Steve Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1083854384
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address1503 W ELK AVE, SUITE 3BElizabethton, TN 37643-2876
Mailing Address1503 W Elk Ave, Suite 3bElizabethton, TN 37643-2876 · (423) 543-7168 · Fax (423) 542-3814
Fax(423) 542-3814
Organization SubpartNo
Authorized OfficialCarl Steve KilgorePresident · (423) 915-5100
Enumeration DateFebruary 26, 2009
Last NPPES UpdateOctober 26, 2010
NPI 1083854384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1503 W ELK AVE, Elizabethton, TN 37643

Other Names 1

Doing Business AsMsmg Gen Surg Eliz B

Other Identifiers 4

Medicare PIN3709285TN
Medicaid1750365433VA
Medicaid1513182TN
Medicare PIN3377137TN

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 9

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

Internal Medicine
1503 W ELK AVE, SUITE 8
ELIZABETHTON, TN 37643
Specialist
1503 W ELK AVE, SUITE 8
ELIZABETHTON, TN 37643
Pediatrics
1503 W ELK AVE, SUITE 12
ELIZABETHTON, TN 37643
Internal Medicine
1503 W ELK AVE, SUITE 5
ELIZABETHTON, TN 37643
Internal Medicine
1503 W ELK AVE, SUITE 8
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1503 W ELK AVE
ELIZABETHTON, TN 37643
General Practice
1503 W ELK AVE, SUITE 1
ELIZABETHTON, TN 37643
Orthopaedic Surgery
1503 W ELK AVE, SUITE 3
ELIZABETHTON, TN 37643

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 1083854384. It was assigned to this organization in the NPPES registry on February 26, 2009. The provider is doing business as Msmg Gen Surg Eliz B.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 1503 W Elk Ave Suite 3B, Elizabethton, TN 37643. The listed phone number is (423) 543-7168.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Medical Management Corporation was last updated on October 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.