{"npi":"1164867719","type":"NPI-2","status":"active","name":{"display":"Blue Ridge Medical Management Corporation","other":[],"organization_name":"BLUE RIDGE MEDICAL MANAGEMENT CORPORATION","authorised_official":"Carl Kilgore"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"208M00000X","description":"Hospitalist","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":null,"license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"100 15TH ST NW","city":"NORTON","state":"VA","postal_code":"242731616","country_code":"US","phone":"2766799002","fax":"2766799078"},{"purpose":"MAILING","street_1":"100 15TH ST NW","city":"NORTON","state":"VA","postal_code":"242731616","country_code":"US","phone":"2766799002","fax":"2766799078"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"020076700","state":"VA","issuer":"DEPARTMENT OF LABOR"},{"type_code":"01","label":"Other","value":"DF7910","state":"VA","issuer":"RR MEDICARE"},{"type_code":"05","label":"Medicaid","value":"1164867719","state":"VA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-05-08","last_updated":"2025-05-02","_meta":{"source":"NPPES","snapshot_date":"2025-05-02","doc_url":"https://findmynpi.com/api"}}