MSMG FM ELIZABETHTON B
NPI 1629432828
Family Medicine in Elizabethton, TN

Active since April 13, 2016
1497 W ELK AVE, SUITE 20, ELIZABETHTON, TN 37643(423) 542-7400(423) 542-7405 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Msmg Fm Elizabethton B NPPES

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

MSMG FM ELIZABETHTON B (NPI 1629432828) is a healthcare organization registered as a family medicine in Elizabethton, Tennessee and active in the NPI registry since April 2016. The organization lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1629432828
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address1497 W ELK AVE, SUITE 20Elizabethton, TN 37643-2895
Mailing Address1497 W Elk Ave, Suite 20Elizabethton, TN 37643-2895 · (423) 542-7400 · Fax (423) 542-7405
Fax(423) 542-7405
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 915-5121
Enumeration DateApril 13, 2016
Last NPPES UpdateOctober 7, 2016
NPI 1629432828 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.
1497 W ELK AVE, Elizabethton, TN 37643

Other Names 1

Doing Business AsMsmg Fm Elizabethton B

Other Identifiers 3

Medicaid1629432828VA
Medicare PIN3709285TN
MedicaidQ020934TN

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 13

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

Nurse Practitioner (Family)
1497 W ELK AVE, SUITE 11
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1497 W ELK AVE, SUITE 21
ELIZABETHTON, TN 37643
Internal Medicine
1497 W ELK AVE, SUITE 20
ELIZABETHTON, TN 37643
Surgery
1497 W ELK AVE, SUITE 10
ELIZABETHTON, TN 37643
Internal Medicine (Hematology & Oncology)
1497 W ELK AVE, SUITE 11A
ELIZABETHTON, TN 37643
Family Medicine
1497 W ELK AVE, SUITE 21
ELIZABETHTON, TN 37643
Internal Medicine
1497 W ELK AVE, SUITE 11
ELIZABETHTON, TN 37643
Family Medicine
1497 W ELK AVE, SUITE 11
ELIZABETHTON, TN 37643

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 1629432828. It was assigned to this organization in the NPPES registry on April 13, 2016. The provider is doing business as Msmg Fm Elizabethton B.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 1497 W Elk Ave Suite 20, Elizabethton, TN 37643. The listed phone number is (423) 542-7400.

What is Blue Ridge Medical Management Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Blue Ridge Medical Management Corporation was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.