BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1003273251
Internal Medicine - Cardiovascular Disease in Johnson City, TN

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Active since January 19, 2016

400 N STATE OF FRANKLIN RD, ROOM LK015, JOHNSON CITY, TN 37604(423) 431-5965(423) 431-3572 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 20, 2018, Feb 14, 2017, Feb 5, 2016 and 1 more (4 updates tracked since 2016).

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About Ballad Health Medical Associates NPPES

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

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1003273251) is a healthcare organization registered as a cardiovascular disease in Johnson City, Tennessee and active in the NPI registry since January 2016. The organization lists Carl Steven Kilgore, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1003273251

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Location Address400 N STATE OF FRANKLIN RD, ROOM LK015Johnson City, TN 37604

Mailing Address400 N State Of Franklin Rd, Room Lk015Johnson City, TN 37604-6035 · (423) 431-5965 · Fax (423) 431-3572

Phone(423) 431-5965

Fax(423) 431-3572

Organization SubpartNo

Authorized OfficialCarl Steven KilgorePresident/ceo · (423) 302-3051

Enumeration DateJanuary 19, 2016

Last NPPES UpdateMarch 28, 20194 updates tracked since enumeration

✔ NPI 1003273251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

400 N STATE OF FRANKLIN RD, Johnson City, TN 37604

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Other Names 3

Doing Business AsBallad Health Medical Associates

Doing Business AsMsmg Structural Heart Clinic Jc

Other NameBhma Structural Heart Clinic Jc

Other Identifiers 2

MedicaidQ019338TN

Medicaid1003273251VA

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