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BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1003293929
Dermatology in Abingdon, VA

Active since April 29, 2015CLIA Certified · 3 labs
16000 JOHNSTON MEMORIAL DR, SUITE 101B, ABINGDON, VA 24211(276) 258-1777(276) 258-1776 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 14, 2017, Nov 23, 2015 (2 updates tracked since 2015).

About Ballad Health Medical Associates NPPES

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

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1003293929) is a healthcare organization registered as a dermatology in Abingdon, Virginia and active in the NPI registry since April 2015. The organization holds 3 active CLIA laboratory certificates and lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1003293929
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address16000 JOHNSTON MEMORIAL DR, SUITE 101BAbingdon, VA 24211-7664
Mailing Address16000 Johnston Memorial Dr, Suite 101bAbingdon, VA 24211-7664 · (276) 258-1777 · Fax (276) 258-1776
Phone(276) 258-1777
Fax(276) 258-1776
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 302-3051
Enumeration DateApril 29, 2015
Last NPPES UpdateMarch 28, 20192 updates tracked since enumeration
✔ NPI 1003293929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
16000 JOHNSTON MEMORIAL DR, Abingdon, VA 24211
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Other Names 3

Doing Business AsBallad Health Medical Associates
Doing Business AsMsmg Dermatology Abg B
Other NameBhma Dermatology Abingdon

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ballad Health Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

336

Medicare enrollment records show 336 clinicians reassign Medicare billing to Ballad Health Medical Associates, which bills Medicare for the services they deliver. Of these, 30 practice at this address and 80 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner110
Internal Medicine51
Family Practice39
Hospitalist28
Obstetrics/Gynecology23
Psychiatry18
Cardiovascular Disease (Cardiology)7
Emergency Medicine7
21 other specialties53

Nearest to this location (20)

See all 336
Nick Cavros, M.D.
Cardiovascular Disease (Cardiology)
NPI 1851345326
16000 JOHNSTON MEMORIAL DR SUITE 212A
Abingdon, VA 24211
(276) 258-3740
✔ PECOSSame address
Dustin Frazier, M.D.
Orthopedic Surgery
NPI 1396799326
16000 JOHNSTON MEMORIAL DR SUITE 100
Abingdon, VA 24211
(276) 258-1760
✔ PECOSSame address
Mary Johnson, MD
Hospitalist
NPI 1801896022
16000 JOHNSTON MEMORIAL DR 4TH FLOOR
Abingdon, VA 24211
(276) 258-4050
✔ PECOSSame address
Leslie Looney, NP
Nurse Practitioner
NPI 1619293677
16000 JOHNSTON MEMORIAL DR SUITE 312D
Abingdon, VA 24211
(276) 258-1740
✔ PECOS✔ Accepts MedicareSame address
Daryl Peake, M.D.
Anesthesiology
NPI 1952509556
16000 JOHNSTON MEMORIAL DR DEPARTMENT OF ANESTHESIOLOGY
Abingdon, VA 24211
(276) 258-1400
✔ PECOS✔ Accepts MedicareSame address
Mark Simcox, M.D.
Anesthesiology
NPI 1306811708
16000 JOHNSTON MEMORIAL DR
Abingdon, VA 24211
(276) 258-1000
✔ PECOS✔ Accepts MedicareSame address
Michael Ulrich, DO
Internal Medicine
NPI 1730179706
16000 JOHNSTON MEMORIAL DR FOURTH FLOOR
Abingdon, VA 24211
(276) 258-4050
✔ PECOS✔ Accepts MedicareSame address
Haytham Adada, MD
Pulmonary Disease
NPI 1336324896
16000 JOHNSTON MEMORIAL DR STE 312D
Abingdon, VA 24211
(276) 258-1100
✔ PECOS✔ Accepts MedicareSame address
Noori Al-Waili, M.D,PHD
Nephrology
NPI 1215215579
16000 JOHNSTON MEMORIAL DR STE 312C
Abingdon, VA 24211
(276) 258-1985
✔ PECOS✔ Accepts MedicareSame address
Sarah Barrett, FNP-C
Nurse Practitioner
NPI 1730027327
16000 JOHNSTON MEMORIAL DR STE 311
Abingdon, VA 24211
(276) 258-3600
✔ PECOS✔ Accepts MedicareSame address
Charise Battel, FNP
Nurse Practitioner
NPI 1316368814
16000 JOHNSTON MEMORIAL DR STE 213
Abingdon, VA 24211
(276) 258-2600
✔ PECOS✔ Accepts MedicareSame address
Christopher Byrd, D.O.
Hospitalist
NPI 1306100789
16000 JOHNSTON MEMORIAL DR FL 4
Abingdon, VA 24211
(276) 258-1000
✔ PECOS✔ Accepts MedicareSame address
Adel El Abbassi, MD
Pulmonary Disease
NPI 1437346301
16000 JOHNSTON MEMORIAL DR STE 312D
Abingdon, VA 24211
(276) 258-1000
✔ PECOS✔ Accepts MedicareSame address
Wael El Minaoui, M.
Internal Medicine
NPI 1871781443
16000 JOHNSTON MEMORIAL DR STE 312D
Abingdon, VA 24211
(276) 258-1000
✔ PECOS✔ Accepts MedicareSame address
Jenna Lyn, MD
Obstetrics/Gynecology
NPI 1841871159
16000 JOHNSTON MEMORIAL DR STE 200
Abingdon, VA 24211
(276) 628-4335
✔ PECOS✔ Accepts MedicareSame address
Robert Northrop, MD
General Surgery
NPI 1588695266
16000 JOHNSTON MEMORIAL DR
Abingdon, VA 24211
(276) 258-1880
✔ PECOS✔ Accepts MedicareSame address
Amit Vashist, MD
Psychiatry
NPI 1598950644
16000 JOHNSTON MEMORIAL DR FOURTH FLOOR
Abingdon, VA 24211
(276) 258-4050
✔ PECOS✔ Accepts MedicareSame address
Kareem Zaki, M.D.
Urology
NPI 1487600458
16000 JOHNSTON MEMORIAL DR STE 300
Abingdon, VA 24211
(276) 258-3820
✔ PECOS✔ Accepts MedicareSame address
Joseph Brown, MD
Gastroenterology
NPI 1356320881
16000 JOHNSTON MEMORIAL DRIVE SUITE 304
Abingdon, VA 24211
(276) 258-3600
✔ PECOS✔ Accepts MedicareSame address
Gregory Miller, M.D.
Cardiovascular Disease (Cardiology)
NPI 1063445989
16000 JOHNSTON MEMORIAL DR SUITE 212A
Abingdon, VA 24211
(276) 258-3740
✔ PECOS✔ Accepts MedicareSame address
See all 336 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 49D2145138

Moutain States Medical Group Urology Dba Ballad Health Medical Associates · Abingdon, VA
Active · expires Feb 29, 2028
CLIA Number49D2145138
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorBrad L. Bauer
Laboratory Phone(276) 258-3820
Laboratory LocationMoutain States Medical Group Urology Dba Ballad Health Medical Associates16000 Johnston Memorial Drive, Suite 300, Abingdon, VA 24211
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D0954323

Ballad Health Medical Associates Obgyn & Womens Health Abingdon A Department Of Jmh · Abingdon, VA
Active · expires Feb 2, 2028
CLIA Number49D0954323
Laboratory TypeAmbulance
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorJenna E. Lyn
Laboratory Phone(276) 628-4335
Laboratory LocationBallad Health Medical Associates Obgyn & Womens Health Abingdon A Department Of Jmh16000 Johnston Memorial Drive, Suite 200, Abingdon, VA 24211
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2026467

Ballad Health Medical Associates Urgent Care-Abingdon · Abingdon, VA
Active · expires Aug 14, 2028
CLIA Number49D2026467
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2026
Certificate Expiration DateAugust 14, 2028
Laboratory DirectorDane Lee
Laboratory Phone(276) 619-0075
Laboratory LocationBallad Health Medical Associates Urgent Care-Abingdon24530 Falcon Place Boulevard - Suite 100, Abingdon, VA 24211
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1003293929. It was assigned to this organization in the NPPES registry on April 29, 2015. The provider is doing business as Ballad Health Medical Associates and MSMG Dermatology ABG B. The provider is also known as BHMA Dermatology Abingdon.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 16000 Johnston Memorial Dr Suite 101B, Abingdon, VA 24211. The listed phone number is (276) 258-1777.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Blue Ridge Medical Management Corporation enrolled in Medicare?

Yes. Blue Ridge Medical Management Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Ridge Medical Management Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 336 clinicians in 29 Medicare specialties reassign their Medicare billing to Blue Ridge Medical Management Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (110), Internal Medicine (51) and Family Practice (39). Of these, 30 practice at this address and 80 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Blue Ridge Medical Management Corporation hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.