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BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1154779817
Psychiatry & Neurology - Psychiatry in Johnson City, TN

Active since June 02, 2016CLIA 44D2065537 · Waiver
525 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 302-4380 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2022, 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 1154779817) is a healthcare organization registered as a psychiatry in Johnson City, Tennessee and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through September 9, 2027, maintains a secondary practice location in Johnson City, and lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1154779817
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address525 N STATE OF FRANKLIN RDJohnson City, TN 37604-8213
Mailing Address509 Med Tech Pkwy Ste 100Johnson City, TN 37604-2579 · (423) 302-6567
Phone(423) 302-4380
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 302-3051
Enumeration DateJune 2, 2016
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1154779817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
525 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 Counseling Services Jc
Other NameBhma Counseling Services Jc

Secondary Practice Location 1

Location 1508 Princeton Rd, Ste 403Johnson City, TN 37601-2060 · Phone (423) 302-3480 · Fax (423) 722-3009

Other Identifiers 2

Medicaid1154779817VA
MedicaidQ022855TN

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

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 44D2065537

Ballad Health Medical Associates - Business Health · Johnson City, TN
Active · expires Sep 9, 2027
CLIA Number44D2065537
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorMarilyn Bishop
Laboratory Phone(423) 302-3680
Laboratory LocationBallad Health Medical Associates - Business Health403 Princeton Road Suite 3, Johnson City, TN 37601
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 20

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

DR. BRIAN MICHAEL O'KEEFE PHARM.D.
Pharmacist
525 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-6154
DR. CARMEN S YATES PHARMD
Pharmacist
525 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-4663
DR. LEA ANN POTEAT PHARM. D.
Pharmacist
525 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-3338
DR. KIMBERLY GOULD LACY PHARM. D.
Pharmacist
525 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-3338
DR. RHETT NICHOLS BYRNE PHARM.D.
Pharmacist
525 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 928-7898
MRS. JULIE P. LANE PHARM.D.
Pharmacist
525 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-6154
DR. JAMES PATRICK MCMACKIN PHARM.D.
Pharmacist
525 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 232-9866
DR. CHERYL A REARDON DPH, CDE
Pharmacist
525 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 926-6154

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 1154779817. It was assigned to this organization in the NPPES registry on June 2, 2016. The provider is doing business as Ballad Health Medical Associates and MSMG Counseling Services JC. The provider is also known as BHMA Counseling Services JC.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 525 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 302-4380.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

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

Yes. A Certificate of Waiver (number 44D2065537) is associated with this NPI, valid through September 9, 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 September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.