BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
NPI 1225778780
Preventive Medicine - Occupational Medicine in Johnson City, TN
About Blue Ridge Medical Management Corpoartion NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION (NPI 1225778780) is a healthcare organization registered as an occupational medicine in Johnson City, Tennessee and active in the NPI registry since March 2022. The organization lists Carl Kilgore, Vp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Blue Ridge Medical Management Corpoartion 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.
Clinicians Billing Medicare Through This Organization
493Medicare enrollment records show 493 clinicians reassign Medicare billing to Blue Ridge Medical Management Corpoartion, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 190 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 39
Nearest to this location (20)
See all 493Source: 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 Corpoartion's NPI number?
The NPI number for Blue Ridge Medical Management Corpoartion is 1225778780. It was assigned to this organization in the NPPES registry on March 31, 2022.
Where is Blue Ridge Medical Management Corpoartion located?
Blue Ridge Medical Management Corpoartion is located at 403 Princeton Rd Ste 3, Johnson City, TN 37601. The listed phone number is (423) 302-3681.
What is Blue Ridge Medical Management Corpoartion's specialty?
The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.
Is Blue Ridge Medical Management Corpoartion enrolled in Medicare?
Yes. Blue Ridge Medical Management Corpoartion is registered in the Medicare PECOS enrollment system.
When is Blue Ridge Medical Management Corpoartion'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 Corpoartion?
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 Corpoartion. 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, 2 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 Corpoartion was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Blue Ridge Medical Management Corpoartion · NPI 1225778780
Occupational Medicine organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1225778780 (Entity type: Organization)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Preventive Medicine - Occupational Medicine · taxonomy 2083X0100X
- **Organization subpart:** No
- **Authorized official:** Carl Kilgore, VP
## Practice location
- **Address:** 403 PRINCETON RD STE 3, Johnson City, TN 37601-2040
- **Phone:** (423) 302-3681 · **Fax:** (423) 302-3689
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 493 clinicians in 39 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (175), Internal Medicine (55), Psychiatry (42); 2 practice at this address and 190 within 10 miles; [full list](https://npiprofile.com/npi/1225778780/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1225778780) · Data from the CMS NPPES public registry.