DBA KINGSPORT INTERNAL MEDICINE
NPI 1912910597
Internal Medicine in Kingsport, TN
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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)
Dba Kingsport Internal Medicine 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 Dba Kingsport Internal Medicine, which bills Medicare for the services they deliver. Of these, 9 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 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.
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, 9 practice at this address and 71 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 August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dba Kingsport Internal Medicine · NPI 1912910597
Internal Medicine organization in Kingsport, Tennessee. Organization record, active in the CMS NPPES registry since August 14, 2006.
## Identity
- **NPI:** 1912910597 (Entity type: Organization)
- **Enumerated:** August 14, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Blue Ridge Medical Management Corporation
- **Organization subpart:** No
- **Authorized official:** C Kilgore, SENIOR VICE PRESIDENT
## Practice location
- **Address:** 2205 PAVILION DR, Kingsport, TN 37660-4641
- **Phone:** (423) 392-5010 · **Fax:** (423) 392-5145
## 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); 9 practice at this address and 71 within 10 miles; [full list](https://npiprofile.com/npi/1912910597/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 3709286 (TN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1912910597) · Data from the CMS NPPES public registry.