BLUE RIDGE MEDICAL MANAGEMENT CORP
NPI 1588326839
Family Medicine in Kingsport, TN

Q: 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.

Q: What is Blue Ridge Medical Management Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 13, 2021

1905 AMERICAN WAY, KINGSPORT, TN 37660(423) 578-8451(423) 230-8224 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1588326839

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORP

Location Address1905 AMERICAN WAYKingsport, TN 37660-5882

Mailing Address509 Med Tech Pkwy Ste 100Johnson City, TN 37604-2579 · (423) 302-6565

Phone(423) 578-8451

Fax(423) 230-8224

Organization SubpartNo

Authorized OfficialLaraine DoverDirector · (423) 952-2124

Enumeration DateOctober 13, 2021

NPPES CertifiedSeptember 28, 2021

✔ NPI 1588326839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1905 AMERICAN WAY, Kingsport, TN 37660

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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 11

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

MRS. ALICIA LEEANN PUGH FNP-BC

Nurse Practitioner (Family)