BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
NPI 1356472880
Internal Medicine in Johnson City, TN

Active since March 08, 2007
400 N STATE OF FRANKLIN RD, ROOM 2746, JOHNSON CITY, TN 37604(423) 431-2727(423) 431-6715 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Blue Ridge Medical Management Corporation NPPES

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI 1356472880), doing business as Ballad Health Medical Associates, is a healthcare organization registered as an internal medicine in Johnson City, Tennessee and active in the NPI registry since March 2007. The organization lists Carl Steven Kilogore, President, as its authorized official.

NPPES Registry Identity

NPI1356472880
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address400 N STATE OF FRANKLIN RD, ROOM 2746Johnson City, TN 37604-6035
Mailing Address400 N State Of Franklin Rd, Room 2746Johnson City, TN 37604-6035 · (423) 431-2727 · Fax (423) 431-6715
Fax(423) 431-6715
Organization SubpartNo
Authorized OfficialCarl Steven KilogorePresident · (423) 302-3051
Enumeration DateMarch 8, 2007
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1356472880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
400 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Names 3

Doing Business AsBallad Health Medical Associates
Doing Business AsMsmg Critical Care Jcmc
Other NameBhma Critical Care Johnson City

Other Identifiers 6

Medicaid1504269TN
Medicaid5908527NC
Medicaid1356472880VA
Other020487815TN · Department Of Labor
Medicaid7100013020KY
OtherCA5744TN · Railroad Medicare

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

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)

Blue Ridge Medical Management Corporation 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 Blue Ridge Medical Management Corporation, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 190 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
Nurse Practitioner
NPI 1285958207
400 N STATE OF FRANKLIN RD RM 2746
Johnson City, TN 37604
(423) 431-2727
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598357808
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-6111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770825630
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-6561
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1164885893
400 N STATE OF FRANKLIN RD RM 2746
Johnson City, TN 37604
(423) 431-6111
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1144431743
400 N STATE OF FRANKLIN RD RM 2746
Johnson City, TN 37604
(423) 431-6111
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1447679238
400 N STATE OF FRANKLIN RD RM 2746
Johnson City, TN 37604
(423) 431-6111
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1417939414
400 N STATE OF FRANKLIN RD RM 2746
Johnson City, TN 37604
(423) 431-2727
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1154198372
408 N STATE OF FRANKLIN RD STE 400B
Johnson City, TN 37604
(423) 431-4946
Same address
Infectious Disease
NPI 1184949489
408 N STATE OF FRANKLIN RD SUITE 24
Johnson City, TN 37604
(423) 431-1810
✔ PECOSSame address
Pediatric Medicine
NPI 1750525713
408 N STATE OF FRANKLIN RD SUITE 31B
Johnson City, TN 37604
(423) 431-4946
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1205302700
408 N STATE OF FRANKLIN RD STE 400B
Johnson City, TN 37604
(423) 431-4946
Same address
Neurology
NPI 1568921419
408 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-4946
✔ PECOSSame address
Pediatric Medicine
NPI 1174842348
408 N STATE OF FRANKLIN RD SUITE 31B
Johnson City, TN 37604
(423) 431-4946
✔ PECOSSame address
Gastroenterology
NPI 1740924414
408 N STATE OF FRANKLIN RD STE 400E
Johnson City, TN 37604
(423) 431-4946
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1316419633
408 N STATE OF FRANKLIN RD STE 400B
Johnson City, TN 37604
(423) 431-4946
Same address
Pediatric Medicine
NPI 1548624273
408 N STATE OF FRANKLIN RD STE 31G
Johnson City, TN 37604
(423) 431-4946
✔ PECOSSame address
Endocrinology
NPI 1508929373
408 N STATE OF FRANKLIN RD STE 31B
Johnson City, TN 37604
(423) 431-4946
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1427314616
408 N STATE OF FRANKLIN RD STE 31A
Johnson City, TN 37604
(423) 431-4946
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1851585996
408 N STATE OF FRANKLIN RD SUITE 24 A
Johnson City, TN 37604
(423) 431-1810
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1689938052
408 N STATE OF FRANKLIN RD SUITE 24
Johnson City, TN 37604
(423) 431-1810
✔ PECOS✔ Accepts MedicareSame address
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 1356472880. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Ballad Health Medical Associates and MSMG Critical Care JCMC. The provider is also known as BHMA Critical Care Johnson City.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 400 N State Of Franklin Rd Room 2746, Johnson City, TN 37604. The listed phone number is (423) 431-2727.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 11 practice at this address and 190 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 Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.