BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1255634564
Family Medicine in Elizabethton, TN

Active since December 08, 2010CLIA 44D1055378 · Waiver
1497 WEST ELK AVE, SUITE 21, ELIZABETHTON, TN 37643(423) 542-7420(423) 542-7425 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2017, Mar 3, 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 1255634564) is a healthcare organization registered as a family medicine in Elizabethton, Tennessee and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Carl S Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1255634564
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address1497 WEST ELK AVE, SUITE 21Elizabethton, TN 37643
Mailing Address1497 West Elk Ave, Suite 21Elizabethton, TN 37643 · (423) 542-7420 · Fax (423) 542-7425
Fax(423) 542-7425
Organization SubpartNo
Authorized OfficialCarl S KilgorePresident · (423) 302-3051
Enumeration DateDecember 8, 2010
Last NPPES UpdateMarch 29, 20192 updates tracked since enumeration
NPI 1255634564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1497 WEST ELK AVE, Elizabethton, TN 37643

Other Names 3

Doing Business AsBallad Health Medical Associates
Doing Business AsMsmg Fp Eliz
Other NameBhma Family Medicine Elizabethton

Other Identifiers 3

Other020487839TN · Department Of Labor
Medicaid1255634564VA
Medicaid1526580TN

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

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 44D1055378

Ballad Health Medical Associates Dba Family Medicine Of Elizabethton · Elizabethton, TN
Active · expires Dec 29, 2026
CLIA Number44D1055378
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorDr. Sheryl D. Pack
Laboratory Phone(423) 542-7420
Laboratory LocationBallad Health Medical Associates Dba Family Medicine Of Elizabethton1497 W Elk Ave, Suite 21, Elizabethton, TN 37643
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Orthopaedic Surgery
1497 WEST ELK AVE, SUITE 11
ELIZABETHTON, TN 37643
Internal Medicine
1497 WEST ELK AVE, STE 10
ELIZABETHTON, TN 37643
Surgery
1497 WEST ELK AVE, SUITE 10
ELIZABETHTON, TN 37643

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 1255634564. It was assigned to this organization in the NPPES registry on December 8, 2010. The provider is doing business as Ballad Health Medical Associates and Msmg Fp Eliz. The provider is also known as BHMA Family Medicine Elizabethton.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 1497 West Elk Ave Suite 21, Elizabethton, TN 37643. The listed phone number is (423) 542-7420.

What is Blue Ridge Medical Management Corporation's specialty?

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

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

Yes. A Certificate of Waiver (number 44D1055378) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 29, 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.