National Provider Identifier Database

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Psychiatry

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.


Contact Information

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN37604-6034
Phone: 423-431-7047
Fax: 423-979-0569
Website:
Specialty Taxonomy Code
* Psychiatry 2084P0800X
Child & Adolescent Psychiatry 2084P0804X

* Indicates primary specialty

NPI Profile & details for BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI Number 1326058272
Legal business name
LBN
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Authorized official CARL KILGORE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/09/2006
Last updated 03/29/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 5908711
  • TN Medicaid: 3377132
  • VA Medicaid: 1326058272
  • Other: CA5744 RR MEDICARE
  • TN Other: 801453000 MAGELLAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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