DBA KINGSPORT INTERNAL MEDICINE
NPI 1912910597
Internal Medicine in Kingsport, TN

Active since August 14, 2006
2205 PAVILION DR, KINGSPORT, TN 37660(423) 392-5010(423) 392-5145 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dba Kingsport Internal Medicine NPPES

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

DBA KINGSPORT INTERNAL MEDICINE (NPI 1912910597) is a healthcare organization registered as an internal medicine in Kingsport, Tennessee and active in the NPI registry since August 2006. The organization lists C Steven Kilgore, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1912910597
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address2205 PAVILION DRKingsport, TN 37660-4641
Mailing Address2205 Pavilion DrKingsport, TN 37660-4641 · (423) 392-5010 · Fax (423) 392-5145
Fax(423) 392-5145
Organization SubpartNo
Authorized OfficialC Steven KilgoreSenior Vice President · (423) 915-5185
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1912910597 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.

2205 PAVILION DR, Kingsport, TN 37660

Other Names 1

Doing Business AsDba Kingsport Internal Medicine

Other Identifiers 1

Medicaid3709286TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2205 PAVILION DR, SUITE 102
KINGSPORT, TN 37660
Internal Medicine (Cardiovascular Disease)
2205 PAVILION DR, SUITE 201
KINGSPORT, TN 37660
Internal Medicine (Pulmonary Disease)
2205 PAVILION DR, SUITE 201B
KINGSPORT, TN 37660
Internal Medicine (Hematology & Oncology)
2205 PAVILION DR, SUITE 101
KINGSPORT, TN 37660
Nurse Practitioner (Acute Care)
2205 PAVILION DR, SUITE 201
KINGSPORT, TN 37660
Physician Assistant
2205 PAVILION DR, SUITE 201
KINGSPORT, TN 37660
Internal Medicine (Cardiovascular Disease)
2205 PAVILION DR, SUITE 201
KINGSPORT, TN 37660
Internal Medicine (Hematology & Oncology)
2205 PAVILION DR, SUITE 101
KINGSPORT, TN 37660

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 1912910597. It was assigned to this organization in the NPPES registry on August 14, 2006. The provider is doing business as Dba Kingsport Internal Medicine.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 2205 Pavilion Dr, Kingsport, TN 37660. The listed phone number is (423) 392-5010.

What is Blue Ridge Medical Management Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Blue Ridge Medical Management Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.