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BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1093016024
Surgery - Trauma Surgery in Johnson City, TN

Active since November 08, 2010
410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 37604(423) 431-2477(423) 431-2478 Get Directions Write a Review

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

Record update history: Jul 19, 2017, Feb 14, 2017 (2 updates tracked since 2017).

About Ballad Health Medical Associates NPPES

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

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1093016024) is a healthcare organization registered as a trauma surgery in Johnson City, Tennessee and active in the NPI registry since November 2010. The organization lists Carl S Kilgore, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1093016024
Entity TypeOrganization
Primary Taxonomy2086S0127X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address410 N STATE OF FRANKLIN RD, SUITE 130Johnson City, TN 37604-6971
Mailing Address410 N State Of Franklin Rd, Suite 130Johnson City, TN 37604-6971 · (423) 431-2477 · Fax (423) 431-2478
Phone(423) 431-2477
Fax(423) 431-2478
Organization SubpartNo
Authorized OfficialCarl S KilgorePresident/ceo · (423) 302-3051
Enumeration DateNovember 8, 2010
Last NPPES UpdateMarch 28, 20192 updates tracked since enumeration
✔ NPI 1093016024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
410 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 Trauma Jc
Other NameBhma Trauma Services Johnson City

Other Identifiers 7

Other020487825TN · Department Of Labor
Medicaid1093016024VA
Medicaid5917230NC
OtherCA5744TN · Rail Road Medicare
Medicaid7100203970KY
Medicaid1522339TN
Medicaid7100163800KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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.

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Neurological Surgery
410 N STATE OF FRANKLIN RD, SUITE 120
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
410 N STATE OF FRANKLIN RD, SUITE 135B
JOHNSON CITY, TN 37604
Washington County (423) 431-4866
DR. MELISSA A POWELL M.D.
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
RAYMOND SHANE SMITH PA-C
Physician Assistant
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MR. TED ALLAN WHITE ANP-BC
Nurse Practitioner (Adult Health)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ANITA DIANE COBBLE MD
Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MR. TANZID SHAMS M.D.
Psychiatry & Neurology (Neurology)
410 N STATE OF FRANKLIN RD, SUITE 135
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
DR. BRANDON GREEN DO
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477

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 1093016024. It was assigned to this organization in the NPPES registry on November 8, 2010. The provider is doing business as Ballad Health Medical Associates and MSMG Trauma JC. The provider is also known as BHMA Trauma Services Johnson City.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 410 N State Of Franklin Rd Suite 130, Johnson City, TN 37604. The listed phone number is (423) 431-2477.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

What insurance does Blue Ridge Medical Management Corporation accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Blue Ridge Medical Management Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.