MSMG IM ELIZ
NPI 1619102167
Internal Medicine in Elizabethton, TN

Active since May 27, 2009
314 ROGOSIN DR, SUITE B, ELIZABETHTON, TN 37643(423) 547-2761(423) 542-8621 Get Directions Write a Review

NPPES record last updated: October 29, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Msmg Im Eliz NPPES

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

MSMG IM ELIZ (NPI 1619102167) is a healthcare organization registered as an internal medicine in Elizabethton, Tennessee and active in the NPI registry since May 2009. The organization lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1619102167
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address314 ROGOSIN DR, SUITE BElizabethton, TN 37643-2904
Mailing AddressPo Box 3700Johnson City, TN 37602-3700 · (866) 397-1439 · Fax (423) 262-1373
Fax(423) 542-8621
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 915-5185
Enumeration DateMay 27, 2009
Last NPPES UpdateOctober 29, 2010
✔ NPI 1619102167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
314 ROGOSIN DR, Elizabethton, TN 37643

Other Names 1

Doing Business AsMsmg Im Eliz

Other Identifiers 3

Medicaid1619102167VA
Medicaid1513567TN
Medicare PIN3709285TN

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

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)

Msmg Im Eliz 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.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20031204000996Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

493

Medicare enrollment records show 493 clinicians reassign Medicare billing to Msmg Im Eliz, which bills Medicare for the services they deliver. Of these, 188 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Nurse Practitioner175
Internal Medicine55
Psychiatry42
Family Practice33
Hospitalist28
General Surgery21
Pediatric Medicine21
Neurology19
31 other specialties99

Nearest to this location (20)

See all 493
Nurse Practitioner
NPI 1316415706
404 BEMBERG RD
Elizabethton, TN 37643
(423) 543-6066
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1255363347
1497 W ELK AVE SUITE 10
Elizabethton, TN 37643
(423) 542-7440
✔ PECOS✔ Accepts Medicare0.5 mi
General Surgery
NPI 1760435937
1497 W ELK AVE SUITE 10
Elizabethton, TN 37643
(423) 542-7440
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1457644254
1497 W ELK AVE SUITE 21
Elizabethton, TN 37643
(423) 542-7420
✔ PECOS✔ Accepts Medicare0.5 mi
Pulmonary Disease
NPI 1518148980
1497 W ELK AVE STE 22B
Elizabethton, TN 37643
(423) 547-7380
✔ PECOS✔ Accepts Medicare0.5 mi
General Surgery
NPI 1679816730
1497 W ELK AVE STE 10
Elizabethton, TN 37643
(423) 542-7440
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1598715419
1497 W ELK AVE SUITE 21
Elizabethton, TN 37643
(423) 542-7420
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1619359338
1497 W ELK AVE STE 21
Elizabethton, TN 37643
(423) 542-7420
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1043370687
1497 W ELK AVE SUITE 11
Elizabethton, TN 37643
(423) 542-8929
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1922519693
1501 W ELK AVE
Elizabethton, TN 37643
(423) 282-1480
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1710140249
1505 W ELK AVE SUITE 2
Elizabethton, TN 37643
(423) 543-1261
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1760965628
1505 W ELK AVE STE 2
Elizabethton, TN 37643
(423) 543-1261
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1801080171
1505 W ELK AVE SUITE 2
Elizabethton, TN 37643
(423) 543-1261
✔ PECOS0.7 mi
Internal Medicine
NPI 1780774570
1505 W ELK AVE SUITE 2
Elizabethton, TN 37643
(423) 543-1261
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1831167741
1505 W ELK AVE STE 2
Elizabethton, TN 37643
(423) 547-3380
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1538413448
1200 SPRUCE LN
Elizabethton, TN 37643
(423) 543-3202
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1487089322
426 E G ST
Elizabethton, TN 37643
(423) 547-5950
✔ PECOS✔ Accepts Medicare6.5 mi
Psychiatry
NPI 1366546046
109 WEST WATAUGA AVENUE
Johnson City, TN 37604
(423) 232-2600
✔ PECOS✔ Accepts Medicare6.8 mi
Internal Medicine
NPI 1497839070
2717 E. OAKLAND AVENUE
Johnson City, TN 37601
(423) 926-2358
✔ PECOS✔ Accepts Medicare7.3 mi
Family Practice
NPI 1467949529
917 W WALNUT ST
Johnson City, TN 37604
(423) 439-6464
✔ PECOS✔ Accepts Medicare7.7 mi
See all 493 clinicians

Source: 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 Corporation's NPI number?

The NPI number for Blue Ridge Medical Management Corporation is 1619102167. It was assigned to this organization in the NPPES registry on May 27, 2009. The provider is doing business as Msmg Im Eliz.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 314 Rogosin Dr Suite B, Elizabethton, TN 37643. The listed phone number is (423) 547-2761.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Blue Ridge Medical Management Corporation enrolled in Medicare?

Yes. Blue Ridge Medical Management Corporation is registered in the Medicare PECOS enrollment system.

When is Blue Ridge Medical Management Corporation'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 Corporation?

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 Corporation. 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, 188 practice 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 Corporation was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.