MSMG TRAUMA JC
NPI 1255769501
Physician Assistant in Johnson City, TN

Active since October 24, 2013
408 N STATE OF FRANKLIN RD, SUITE 31, JOHNSON CITY, TN 37604(423) 431-2477(423) 431-2478 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Msmg Trauma Jc NPPES

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

MSMG TRAUMA JC (NPI 1255769501) is a healthcare organization registered as a physician assistant in Johnson City, Tennessee and active in the NPI registry since October 2013. The organization lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1255769501
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address408 N STATE OF FRANKLIN RD, SUITE 31Johnson City, TN 37604-6089
Mailing Address408 N State Of Franklin Rd, Suite 31Johnson City, TN 37604-6089 · (423) 431-2477 · Fax (423) 431-2478
Fax(423) 431-2478
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 915-5000
Enumeration DateOctober 24, 2013
NPI 1255769501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

408 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Names 1

Doing Business AsMsmg Trauma Jc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Nurse Practitioner (Adult Health)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Radiology (Diagnostic Radiology)
408 N STATE OF FRANKLIN RD, SUITE 31
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 31B
JOHNSON CITY, TN 37604
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Nurse Practitioner
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604

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 1255769501. It was assigned to this organization in the NPPES registry on October 24, 2013. The provider is doing business as Msmg Trauma Jc.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 408 N State Of Franklin Rd Suite 31, Johnson City, TN 37604. The listed phone number is (423) 431-2477.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Medical Management Corporation was last updated on October 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.