DBA BLUE RIDGE PSYCHIATRY
NPI 1144231119
Psychiatry & Neurology - Psychiatry in Kingsport, TN

NPI Status: Active since August 11, 2006

Contact Information

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-5720
Fax: (423) 857-5720

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About DBA BLUE RIDGE PSYCHIATRY

This page provides the complete NPI Profile along with additional information for Dba Blue Ridge Psychiatry, a provider established in Kingsport, Tennessee operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1144231119 assigned on August 2006. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Dba Blue Ridge Psychiatry. The authorized official of this NPI record is C Steven Kilgore (Senior Vice President)

NPI
1144231119
Provider Legal Name
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Other Organization Name
DBA BLUE RIDGE PSYCHIATRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2300 PAVILION DR KINGSPORT, TN 37660
Location Phone
(423) 857-5720
Location Fax
(423) 857-5720
Mailing Address
2300 PAVILION DR KINGSPORT, TN 37660
Mailing Phone
(423) 857-5720
Mailing Fax
(423) 857-5720
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2006
Last Update Date
08-22-2020
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A psychiatrist like Dba Blue Ridge Psychiatry are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

C STEVEN KILGORE

Authorized Official Title
SENIOR VICE PRESIDENT
Authorized Official Phone
(423) 915-5185

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3377134MEDICAID (05)TN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144231119
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218443212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 4 + 3 + 2 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1144231119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. TIMOTHY JAMES SULLIVAN JR. M.D.

Psychiatry & Neurology

(Psychiatry)

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 587-5571

CHARLES B HERRIN M.D.

Psychiatry & Neurology

(Addiction Medicine)

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 857-5571

CAROLYN A SHULER APN, CS

Registered Nurse

(Psychiatric/Mental Health)

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 857-5571

HAROLD B LEONARD LPC

Counselor

(Professional)

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 857-5571

BETTY JO MILLER LCSW

Social Worker

(Clinical)

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 857-5571

ASHLEY TAYLOR APN

Nurse Practitioner

(Psychiatric/Mental Health)

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 857-5571

TAMMIE LANE PRESLEY SPE

Counselor

(Mental Health)

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 857-5571

THOMAS D STOSS M.D.

Student in an Organized Health Care Education/Training Program

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 857-5720

NATALIE MARIE HONEYCUTT LPC

Counselor

(Professional)

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 392-5500

KIMBERLY DAWN FINK LCSW

Social Worker

(Clinical)

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 392-5500

KRISTEL DAWNE HEADLEY L.P.C.

Counselor

(Professional)

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 857-5571

DARRELL FONTENOT

Physical Therapist

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 741-7116

DANIEL TODD DAVIS OTR/L

Occupational Therapist

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 765-9655

MR. RANSOM TIPTON II PTA

Physical Therapy Assistant

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 765-9655

MISS DENNI LARAE BOYD COTA/L

Occupational Therapy Assistant

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 765-9655

STEPHANIE WEINHOLD

Physical Therapy Assistant

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 765-9655

MOUNTAIN STATES HEALTH ALLIANCE

Psychiatric Unit

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 857-5500

RESURECCION PALILEO

Physical Therapist

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 765-9655

ELIJAH OWENS

Occupational Therapy Assistant

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 765-9655

DR. YUI MATSUMOTO PT,DPT

Physical Therapist

2300 PAVILION DR
KINGSPORT, TN
ZIP 37660

(423) 765-9655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144231119, enumerated as an "organization" on August 11, 2006.

The provider is located at 2300 PAVILION DR KINGSPORT, TN 37660 and the phone number is (423) 857-5720.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.