BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
NPI 1053762112
Internal Medicine in Johnson City, TN
NPI Status: Active since June 29, 2016
Contact Information
310 N STATE OF FRANKLIN RD
STE 301A
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-6816
Fax: (423) 431-2983
- Organization
- Internal Medicine
- Accepts Insurance
About BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
This page provides the complete NPI Profile along with additional information for Blue Ridge Medical Management Corporation, an internist established in Johnson City, Tennessee operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1053762112 assigned on June 2016. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated May 2025. Blue Ridge Medical Management Corporation operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1053762112
- Provider Legal Name
- BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 310 N STATE OF FRANKLIN RD STE 301A JOHNSON CITY, TN 37604
- Location Phone
- (423) 431-6816
- Location Fax
- (423) 431-2983
- Mailing Address
- 310 N STATE OF FRANKLIN RD STE 301A JOHNSON CITY, TN 37604
- Mailing Phone
- (423) 431-6816
- Mailing Fax
- (423) 431-2983
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2016
- Last Update Date
- 05-02-2025
- Code Navigator
An internist like Blue Ridge Medical Management Corporation is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q022379 | MEDICAID (05) | TN | |
| 1053762112 | MEDICAID (05) | VA | |
| 3709285 | MEDICAID (05) | TN | |
| 622772600 | OTHER (01) | TN | DEPARTMENT OF LABOR |
Reviews for BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 7 | 6 | 2 | 1 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 14 | 6 | 4 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 1 + 4 + 6 + 4 + 1 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1053762112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598769903 | PAMELA L. GREER F.N.P. Individual | Nurse Practitioner (Family) | 310 N STATE OF FRANKLIN RD STE 202 JOHNSON CITY, TN 37604 (423) 929-7111 |
| 1922002310 | WINFORD RICHARD MCGOWAN JR. M.D. Individual | Internal Medicine (Gastroenterology) | 310 N STATE OF FRANKLIN RD STE 202 JOHNSON CITY, TN 37604 (423) 929-7111 |
| 1427052828 | LAWRENCE W. SCHMIDT M.D. Individual | Internal Medicine (Gastroenterology) | 310 N STATE OF FRANKLIN RD STE 202 JOHNSON CITY, TN 37604 (423) 929-7111 |
| 1871597278 | DAVID BRENT WELCH M.D. Individual | Internal Medicine (Gastroenterology) | 310 N STATE OF FRANKLIN RD STE 202 JOHNSON CITY, TN 37604 (423) 929-7111 |
| 1568466969 | MARK F. YOUNG M.D. Individual | Internal Medicine (Gastroenterology) | 310 N STATE OF FRANKLIN RD STE 202 JOHNSON CITY, TN 37604 (423) 929-7111 |
| 1720082126 | PUNEET GOENKA M.D. Individual | Internal Medicine (Gastroenterology) | 310 N STATE OF FRANKLIN RD STE 202 JOHNSON CITY, TN 37604 (423) 929-7111 |
| 1245234657 | SARAH E. BELCHER F.N.P. Individual | Nurse Practitioner (Family) | 310 N STATE OF FRANKLIN RD STE 202 JOHNSON CITY, TN 37604 (423) 929-7111 |
| 1982654984 | MR. FRANKLIN MONTENEGRO MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 310 N STATE OF FRANKLIN RD SUITE #201 JOHNSON CITY, TN 37604 (423) 928-3051 |
| 1528018520 | MRS. ALBERTINE DEWIT MD Individual | Internal Medicine (Rheumatology) | 310 N STATE OF FRANKLIN RD SUITE #201 JOHNSON CITY, TN 37604 (423) 928-3051 |
| 1265460034 | JAYANT B MEHTA M.D. Individual | Internal Medicine (Pulmonary Disease) | 310 N STATE OF FRANKLIN RD SUITE 303 JOHNSON CITY, TN 37604 (423) 926-8181 |
| 1356446298 | EAST TENNESSEE HEMATOLOGY/ONCOLOGY ASSOC P.C. Organization | Clinic/Center (Oncology) | 310 N STATE OF FRANKLIN RD STE 401 JOHNSON CITY, TN 37604 (423) 926-3611 |
| 1265769293 | MRS. HEATHER NICOLE WILLIAMS F.N.P. Individual | Nurse Practitioner (Family) | 310 N STATE OF FRANKLIN RD SUITE 202 JOHNSON CITY, TN 37604 (423) 929-7111 |
| 1982927778 | ANESTHESIA OF NORTHEAST TENNESSEE PLLC Organization | Anesthesiology | 310 N STATE OF FRANKLIN RD STE 202 JOHNSON CITY, TN 37604 (423) 928-8973 |
| 1225389349 | TRINITY CANCER CARE, P.C. Organization | Internal Medicine (Medical Oncology) | 310 N STATE OF FRANKLIN RD SUITE 401 JOHNSON CITY, TN 37604 (423) 926-3611 |
| 1225219306 | DR. JASON DEWAYNE MCKINNEY D.O. Individual | Internal Medicine (Gastroenterology) | 310 N STATE OF FRANKLIN RD SUITE 202 JOHNSON CITY, TN 37604 (423) 929-7111 |
| 1669864377 | EMILY KATHLEEN PRICE NP Individual | Nurse Practitioner (Family) | 310 N STATE OF FRANKLIN RD SUITE 400 JOHNSON CITY, TN 37604 (423) 979-6000 |
| 1407804891 | JAMES J CASEY JR. PA Individual | Physician Assistant (Surgical) | 310 N STATE OF FRANKLIN RD SUITE 101 JOHNSON CITY, TN 37604 (423) 929-7393 |
| 1659817377 | MRS. SHANDON MORRISON N.P. Individual | Nurse Practitioner | 310 N STATE OF FRANKLIN RD SUITE 202 JOHNSON CITY, TN 37604 (423) 929-7111 |
| 1225023104 | FAWWAZ I. HAMATI MD Individual | Internal Medicine (Cardiovascular Disease) | 310 N STATE OF FRANKLIN RD SUITE 400 JOHNSON CITY, TN 37604 (423) 979-6000 |
| 1407841398 | SHOBHA R. HIREMAGALUR MD Individual | Internal Medicine (Interventional Cardiology) | 310 N STATE OF FRANKLIN RD SUITE 400 JOHNSON CITY, TN 37604 (423) 979-6000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053762112, enumerated in the NPI registry as an "organization" on June 29, 2016
The provider is located at 310 N State Of Franklin Rd Ste 301a Johnson City, Tn 37604 and the phone number is (423) 431-6816
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 29, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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