BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1003152307
Neurological Surgery in Johnson City, TN

Active since December 14, 2012CLIA 44D2099447 · Waiver
410 N STATE OF FRANKLIN RD, SUITE 120, JOHNSON CITY, TN 37604(423) 431-2350(423) 431-2372 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ballad Health Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1003152307) is a healthcare organization registered as a neurological surgery in Johnson City, Tennessee and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Carl Steven Kilgore, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1003152307
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address410 N STATE OF FRANKLIN RD, SUITE 120Johnson City, TN 37604-6971
Mailing Address410 N State Of Franklin Rd, Suite 120Johnson City, TN 37604-6971 · (423) 431-2350 · Fax (423) 431-2372
Fax(423) 431-2372
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident / Ceo · (423) 302-3051
Enumeration DateDecember 14, 2012
Last NPPES UpdateMarch 28, 2019
NPI 1003152307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
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.
410 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Names 3

Doing Business AsBallad Health Medical Associates
Doing Business AsMsmg Neurosurg Jc
Other NameBhma Neurosurgery And Spine Jc

Other Identifiers 4

Other020487821TN · Department Of Labor/feca
Medicaid1003152370VA
Other020487821TN · Department Of Labor/black Lung & Energy
MedicaidQ002409TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2099447

Medworks Occupational Medicine Dba Ballad Health Medical Associates · Johnson City, TN
Active · expires Jul 27, 2027
CLIA Number44D2099447
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorSusan Zwiebel
Laboratory Phone(423) 915-5033
Laboratory LocationMedworks Occupational Medicine Dba Ballad Health Medical Associates200 Med Tech Pkwy, Suite 108, Johnson City, TN 37604
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
410 N STATE OF FRANKLIN RD, SUITE 135B
JOHNSON CITY, TN 37604
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Surgery (Trauma Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Physician Assistant
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Nurse Practitioner (Adult Health)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Neurology)
410 N STATE OF FRANKLIN RD, SUITE 135
JOHNSON CITY, TN 37604
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Ridge Medical Management Corporation's NPI number?

The NPI number for Blue Ridge Medical Management Corporation is 1003152307. It was assigned to this organization in the NPPES registry on December 14, 2012. The provider is doing business as Ballad Health Medical Associates and Msmg Neurosurg Jc. The provider is also known as BHMA Neurosurgery and Spine JC.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 410 N State Of Franklin Rd Suite 120, Johnson City, TN 37604. The listed phone number is (423) 431-2350.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Does Blue Ridge Medical Management Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2099447) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Ridge Medical Management Corporation was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.