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BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1164966909
Internal Medicine - Gastroenterology in Marion, VA

Active since December 13, 2016CLIA 49D2164629 · Waiver
245 MEDICAL PARK DR, SUITE E, MARION, VA 24354(276) 258-3600(276) 258-3605 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2017, Dec 13, 2016 (2 updates tracked since 2016).

About Ballad Health Medical Associates NPPES

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

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1164966909) is a healthcare organization registered as a gastroenterology in Marion, Virginia and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1164966909
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address245 MEDICAL PARK DR, SUITE EMarion, VA 24354-1100
Mailing Address245 Medical Park Dr, Suite EMarion, VA 24354-1100 · (276) 258-3600 · Fax (276) 258-3605
Phone(276) 258-3600
Fax(276) 258-3605
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 302-3051
Enumeration DateDecember 13, 2016
Last NPPES UpdateMarch 28, 20192 updates tracked since enumeration
✔ NPI 1164966909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
245 MEDICAL PARK DR, Marion, VA 24354
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Other Names 3

Doing Business AsBallad Health Medical Associates
Doing Business AsMsmg Gastroenterology Mar
Other NameBhma Gastroenterology Marion

Other Identifiers 1

Medicaid1164966909VA

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 49D2164629

Ballad Health Medical Associates Gastroenterology · Abingdon, VA
Active · expires Apr 9, 2027
CLIA Number49D2164629
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorJoseph A. Brown
Laboratory Phone(276) 258-3600
Laboratory LocationBallad Health Medical Associates Gastroenterology16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211
CLIA data matches this NPI record on: Name Phone
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.

SMYTH COUNTY COMMUNITY HOSPITAL
General Acute Care Hospital
245 MEDICAL PARK DR
MARION, VA 24354
Smyth County (276) 378-1000
MRS. JACQUELINE LARAWAY ACNP-BC
Nurse Practitioner (Acute Care)
245 MEDICAL PARK DR, FIRST FLOOR
MARION, VA 24354
Smyth County (276) 378-1341
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
245 MEDICAL PARK DR, SUITE C
MARION, VA 24354
Smyth County (276) 378-3300
SMYTH COUNTY COMMUNITY HOSPITAL
Rehabilitation Unit
245 MEDICAL PARK DR
MARION, VA 24354
Smyth County (276) 378-1000
SMYTH COUNTY COMMUNITY HOSPITAL
General Acute Care Hospital
245 MEDICAL PARK DR
MARION, VA 24354
Smyth County (276) 378-1140
SHERRY W. LOVE NP
Nurse Practitioner (Family)
245 MEDICAL PARK DR, SUITE C
MARION, VA 24354
Smyth County (276) 378-3300
BRIAN K MILLER D.O.
Family Medicine
245 MEDICAL PARK DR, FIRST FLOOR
MARION, VA 24354
Smyth County (276) 378-1341
JAIMIE LEANNE SHELTON P.A.
Physician Assistant
245 MEDICAL PARK DR, SUITE C
MARION, VA 24354
Smyth County (276) 378-3300

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 1164966909. It was assigned to this organization in the NPPES registry on December 13, 2016. The provider is doing business as Ballad Health Medical Associates and MSMG Gastroenterology MAR. The provider is also known as BHMA Gastroenterology Marion.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 245 Medical Park Dr Suite E, Marion, VA 24354. The listed phone number is (276) 258-3600.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

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

Yes. A Certificate of Waiver (number 49D2164629) is associated with this NPI, valid through April 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 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.