MSMG EXTENDED CARE JC
NPI 1316357593
Internal Medicine in Johnson City, TN
NPI Status: Active since April 28, 2014
Contact Information
408 N STATE OF FRANKLIN RD
SUITE 24 A
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-1810
Fax: (423) 431-1811
- Organization
- Internal Medicine
- Accepts Insurance
About MSMG EXTENDED CARE JC
This page provides the complete NPI Profile along with additional information for Msmg Extended Care Jc, an internist established in Johnson City, Tennessee operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1316357593 assigned on April 2014. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Msmg Extended Care Jc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Msmg Extended Care Jc. The authorized official of this NPI record is Carl Steven Kilgore (President)
- NPI
- 1316357593
- Provider Legal Name
- BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
- Other Organization Name
- MSMG EXTENDED CARE JC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 408 N STATE OF FRANKLIN RD SUITE 24 A JOHNSON CITY, TN 37604
- Location Phone
- (423) 431-1810
- Location Fax
- (423) 431-1811
- Mailing Address
- 509 MED TECH PKWY SUITE 100 JOHNSON CITY, TN 37604
- Mailing Phone
- (423) 302-6882
- Mailing Fax
- (423) 431-1811
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2014
- Last Update Date
- 07-08-2015
- Code Navigator
An internist like Msmg Extended Care Jc 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 3 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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:
- 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
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 |
|---|---|---|---|
| 3709285 | MEDICARE PIN (08) | TN | |
| 1316357593 | MEDICAID (05) | VA | |
| 1534067 | MEDICAID (05) | TN |
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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 | 3 | 1 | 6 | 3 | 5 | 7 | 5 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 6 | 5 | 14 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 6 + 5 + 1 + 4 + 5 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1316357593 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1093715203 | DR. ANDREW S PIERCE MD Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1770549453 | STEVEN C HAMEL MD Individual | Neurological Surgery | 408 N STATE OF FRANKLIN RD SUITE 42 JOHNSON CITY, TN 37604 (423) 975-2350 |
| 1073555934 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION Organization | Neurological Surgery | 408 N STATE OF FRANKLIN RD SUITE 42 JOHNSON CITY, TN 37604 (423) 431-2350 |
| 1235244708 | CENTER FOR APPLIED REPRODUCTIVE SCIENCE Organization | Obstetrics & Gynecology (Reproductive Endocrinology) | 408 N STATE OF FRANKLIN RD SUITE # 31 JOHNSON CITY, TN 37604 (423) 461-8880 |
| 1831296813 | TODD HORTON MD Individual | Orthopaedic Surgery (Hand Surgery) | 408 N STATE OF FRANKLIN RD SUITE 31 JOHNSON CITY, TN 37604 (423) 431-2477 |
| 1972647287 | MRS. SHANNON M WIEDERHOLT RD,LDN,CDE Individual | Dietitian, Registered | 408 N STATE OF FRANKLIN RD SUITE#31 JOHNSON CITY, TN 37604 (423) 461-8880 |
| 1962700237 | MS. BRITTANY MOODY REECE NP Individual | Nurse Practitioner (Family) | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1609213800 | ASHLEY D PIERSON PA-C Individual | Physician Assistant | 408 N STATE OF FRANKLIN RD SUITE 31 JOHNSON CITY, TN 37604 (423) 431-2477 |
| 1447324603 | DR. MOUNA ABOUAMARA MD Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1255769501 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION Organization | Physician Assistant | 408 N STATE OF FRANKLIN RD SUITE 31 JOHNSON CITY, TN 37604 (423) 431-2477 |
| 1245215847 | DR. DON E ADAMS III MD Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1043211204 | DR. PAULA RENEE SMITH M.D. Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1710981105 | THOMAS R. BORTHWICK M.D. Individual | Internal Medicine (Gastroenterology) | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1275571275 | ANJALI MALKANI M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 408 N STATE OF FRANKLIN RD SUITE 31 E JOHNSON CITY, TN 37604 (423) 431-4946 |
| 1215207451 | KIMBERLY S BACON NP Individual | Nurse Practitioner (Family) | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1093081978 | MRS. AMIE JARRETT BRIGGS FNP-BC Individual | Nurse Practitioner | 408 N STATE OF FRANKLIN RD SUITE 31C JOHNSON CITY, TN 37604 (423) 431-4946 |
| 1689626343 | NEIL W KOOY M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 408 N STATE OF FRANKLIN RD SUITE 31D JOHNSON CITY, TN 37604 (423) 431-4946 |
| 1992738702 | ELISA J LAFOUNTAIN DO Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1851585996 | DR. SHWETA KHARALKAR MD Individual | Internal Medicine | 408 N STATE OF FRANKLIN RD SUITE 24 A JOHNSON CITY, TN 37604 (423) 431-1810 |
| 1053567826 | MR. LARRY MICHAEL STEVENS II APN Individual | Nurse Practitioner (Adult Health) | 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 (423) 431-1810 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316357593, enumerated in the NPI registry as an "organization" on April 28, 2014
The provider is located at 408 N State Of Franklin Rd Suite 24 A Johnson City, Tn 37604 and the phone number is (423) 431-1810
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. 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 April 28, 2014. 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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