BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1255341509
Family Medicine in Johnson City, TN

Active since August 09, 2006
1021 W OAKLAND AVE, SUITE 301, JOHNSON CITY, TN 37604(423) 952-8000(423) 952-8001 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2024, Feb 14, 2017, May 18, 2016 and 1 more (4 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 1255341509) is a healthcare organization registered as a family medicine in Johnson City, Tennessee and active in the NPI registry since August 2006. The organization lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1255341509
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address1021 W OAKLAND AVE, SUITE 301Johnson City, TN 37604-2191
Mailing Address1021 W Oakland Ave, Suite 301Johnson City, TN 37604-2191 · (423) 952-8000 · Fax (423) 952-8001
Fax(423) 952-8001
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 302-3051
Enumeration DateAugust 9, 2006
Last NPPES UpdateOctober 1, 20244 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1255341509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
1021 W OAKLAND AVE, Johnson City, TN 37604

Other Names 3

Doing Business AsBallad Health Medical Associates
Doing Business AsMsmg Fm Im Jc
Other NameBhma Family Medicine And Internal Medicine Johnson City

Other Identifiers 3

Medicaid1255341509VA
Other622968600TN · Department Of Labor
Medicaid3706263TN

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation 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).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20031204000996Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

493

Medicare enrollment records show 493 clinicians reassign Medicare billing to Ballad Health Medical Associates, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 188 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Nurse Practitioner175
Internal Medicine55
Psychiatry42
Family Practice33
Hospitalist28
General Surgery21
Pediatric Medicine21
Neurology19
31 other specialties99

Nearest to this location (20)

See all 493
Family Practice
NPI 1588676456
1021 W OAKLAND AVE STE 301
Johnson City, TN 37604
(423) 952-8000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1164059085
1021 W OAKLAND AVE STE 301A
Johnson City, TN 37604
(423) 952-8008
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1518420595
1021 W OAKLAND AVE STE 301A
Johnson City, TN 37604
(423) 952-8008
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1629538343
1021 W OAKLAND AVE STE 301
Johnson City, TN 37604
(423) 952-8000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174769129
1021 W OAKLAND AVE STE 301
Johnson City, TN 37604
(423) 952-8000
✔ PECOSSame address
Nurse Practitioner
NPI 1013314384
1021 W OAKLAND AVE SUITE 301
Johnson City, TN 37604
(423) 952-8000
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1073779799
1018 CHASE DR
Johnson City, TN 37604
(423) 282-3379
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1366990442
2428 KNOB CREEK RD STE 201
Johnson City, TN 37604
(423) 282-5054
✔ PECOS✔ Accepts Medicare0.4 mi
Pulmonary Disease
NPI 1871588806
2428 KNOB CREEK RD SUITE 102
Johnson City, TN 37604
(423) 794-1074
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1588619738
101 MED TECH PKWY SUITE 305
Johnson City, TN 37604
(423) 926-6266
✔ PECOS✔ Accepts Medicare0.5 mi
Ophthalmology
NPI 1558781955
110 MED TECH PKWY STE 1
Johnson City, TN 37604
(423) 929-2111
✔ PECOS✔ Accepts Medicare0.5 mi
Ophthalmology
NPI 1609834076
110 MED TECH PKWY SUITE 1
Johnson City, TN 37604
(423) 929-2111
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1396908430
301 MED TECH PKWY STE 240
Johnson City, TN 37604
(423) 794-5520
✔ PECOS✔ Accepts Medicare0.6 mi
Hospitalist
NPI 1124437207
301 MED TECH PKWY STE 240
Johnson City, TN 37604
(423) 794-5520
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1326043167
301 MED TECH PKWY STE 240
Johnson City, TN 37604
(423) 794-5520
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1679949572
301 MED TECH PKWY STE 240
Johnson City, TN 37604
(423) 794-5520
✔ PECOS✔ Accepts Medicare0.6 mi
Neurology
NPI 1851448476
378 MARKETPLACE BLVD STE 10C
Johnson City, TN 37604
(423) 431-4946
✔ PECOS✔ Accepts Medicare0.7 mi
Preventive Medicine
NPI 1366411621
200 MED TECH PKWY STE 108
Johnson City, TN 37604
(423) 915-5033
✔ PECOS✔ Accepts Medicare0.7 mi
Mental Health Counselor
NPI 1548748882
701 MED TECH PKWY STE 201
Johnson City, TN 37604
(423) 302-3480
✔ PECOS✔ Accepts Medicare1.0 mi
Neurosurgery
NPI 1326030339
701 MED TECH PKWY STE 300
Johnson City, TN 37604
(423) 232-8301
✔ PECOS✔ Accepts Medicare1.0 mi
See all 493 clinicians

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

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 1255341509. It was assigned to this organization in the NPPES registry on August 9, 2006. The provider is doing business as Ballad Health Medical Associates and Msmg Fm Im Jc. The provider is also known as BHMA Family Medicine and Internal Medicine Johnson City.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 1021 W Oakland Ave Suite 301, Johnson City, TN 37604. The listed phone number is (423) 952-8000.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Blue Ridge Medical Management Corporation enrolled in Medicare?

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

When is Blue Ridge Medical Management Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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

According to the CMS Revalidation Reassignment List (October 2026 release), 493 clinicians in 39 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 (175), Internal Medicine (55) and Psychiatry (42). Of these, 6 practice at this address and 188 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Blue Ridge Medical Management Corporation accept?

Health plans from Cigna Healthcare 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 October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.