NPIMap

Blue Ridge Medical Management Corporation

A Medicare group practice based in Johnson City, TN: 181 NPIs enrolled under one PECOS associate control ID (PAC ID 9739099441), with 798 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9739099441The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
TN, VA
Enrollments
2
Group size
283 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
51In 14 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20031204000996 TN Part B Supplier - Clinic/Group Practice 1144380833
O20040715001336 VA Part B Supplier - Clinic/Group Practice 1326159567

NPIs in this group 181

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 798

Page 1 of 8

Clinicians who reassign their Medicare benefits to this group (796) or whom Care Compare lists as members (283).

Sources for this page