BLUE RIDGE MEDICAL MANAGEMENT CORP
NPI 1588326839
Family Medicine in Kingsport, TN
About Blue Ridge Medical Management Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE RIDGE MEDICAL MANAGEMENT CORP (NPI 1588326839) is a healthcare organization registered as a family medicine in Kingsport, Tennessee and active in the NPI registry since October 2021. The organization lists Laraine Dover, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 Corp 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 Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 71 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 Corp's NPI number?
The NPI number for Blue Ridge Medical Management Corp is 1588326839. It was assigned to this organization in the NPPES registry on October 13, 2021.
Where is Blue Ridge Medical Management Corp located?
Blue Ridge Medical Management Corp is located at 1905 American Way, Kingsport, TN 37660. The listed phone number is (423) 578-8451.
What is Blue Ridge Medical Management Corp's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Blue Ridge Medical Management Corp enrolled in Medicare?
Yes. Blue Ridge Medical Management Corp is registered in the Medicare PECOS enrollment system.
When is Blue Ridge Medical Management Corp'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 Corp?
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 Corp. 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, 1 practice at this address and 71 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Blue Ridge Medical Management Corp accept?
Health plans from Cigna Healthcare list Blue Ridge Medical Management Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blue Ridge Medical Management Corp was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Corp · NPI 1588326839
Family Medicine organization in Kingsport, Tennessee. Organization record, active in the CMS NPPES registry since October 13, 2021.
## Identity
- **NPI:** 1588326839 (Entity type: Organization)
- **Enumerated:** October 13, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Laraine Dover, DIRECTOR
## Practice location
- **Address:** 1905 AMERICAN WAY, Kingsport, TN 37660-5882
- **Phone:** (423) 578-8451 · **Fax:** (423) 230-8224
## 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); 1 practice at this address and 71 within 10 miles; [full list](https://npiprofile.com/npi/1588326839/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1588326839) · Data from the CMS NPPES public registry.