DBA APPLALACHIAN NEUROSURGICAL CLINIC – NPI #1578674628
Neurological Surgery

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

DBA APPLALACHIAN NEUROSURGICAL CLINIC is a neurological surgeon located in GREENEVILLE, TN. NPPES has assigned the NPI number 1578674628 to DBA APPLALACHIAN NEUROSURGICAL CLINIC on August 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA APPLALACHIAN NEUROSURGICAL CLINIC” is a dba name, the actual legal business name for this organization is BLUE RIDGE MEDICAL MANAGEMENT CORPORATION. The primary taxonomy selected by this provider is 207T00000X from the Health Care Provider Taxonomy code set, which is classified as Neurological Surgery.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DBA APPLALACHIAN NEUROSURGICAL CLINIC below.

NPI Profile for
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI Number
1578674628
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Doing Business As (dba): DBA APPLALACHIAN NEUROSURGICAL CLINIC
Primary location
1410 TUSCULUM BLVD
SUITE 1400
GREENEVILLE, TN 37745-4286
Phone: (423) 975-2350 Fax: (423) 975-2372
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
C KILGORE
SENIOR VICE PRESIDENT
Phone: (423) 915-5185
Updated
Identifiers

Identifiers for DBA APPLALACHIAN NEUROSURGICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTNPENDING
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207T00000X
- Neurological Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.