Blue Ridge Medical Management

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

BLUE RIDGE MEDICAL MANAGEMENT

Doing business as

Regional Cancer Center At SSH

Practice address

1497 W Elk Ave
Suite 20B
Elizabethton, TN 37643-2895

Phone

(423) 232-6900

Fax

(423) 232-6903

NPI assigned

May 22, 2015

Last updated

Nov 18, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carl Steven Kilgore

Title

President

Phone

(423) 915-5116

Specialties & licenses 1

Addresses

Other names 1

• Regional Cancer Center At SSH Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alison Repass Herrig, NP

  • Pediatric Nurse Practitioner
  • Johnson City, TN
  • NPI 1821158031
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1689053753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 W ELK AVE",
            "address_2": "SUITE 20B",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432895",
            "telephone_number": "423-232-6900",
            "fax_number": "423-232-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 W ELK AVE",
            "address_2": "SUITE 20B",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432895",
            "telephone_number": "423-232-6900",
            "fax_number": "423-232-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-915-5116"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Cancer Center At SSH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Hardin Birchfield, R.N.
• Kasey Marie Bishop, OTR/L
• Jasmine Dare Blake, OTR/L
• John Paul Blakley, FNP-C
• George Wallace Blankenship Jr., PHARMD, MBA
• Blue Ridge Medical Management C Orporation (MSMG Im Eliz)
• Blue Ridge Medical Management Corpoartion (MSMG Ortho ELIZ)
• Blue Ridge Medical Management Corporation (MSMG Gen Surg Eliz a)
• Blue Ridge Medical Management Corporation (MSMG Gen Surg Eliz B)
• Blue Ridge Medical Management Corporation (First Assist Urgent Care)

• Medical Oncology Physician in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Medical Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.