BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1386028215
Pediatrics in Johnson City, TN

Active since July 09, 2015
400 N STATE OF FRANKLIN RD, OFFICE OF NISWONGER CEO, JOHNSON CITY, TN 37604(423) 431-4847(423) 431-3949 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ballad Health Medical Associates NPPES

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

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1386028215) is a healthcare organization registered as a pediatrics in Johnson City, Tennessee and active in the NPI registry since July 2015. The organization lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1386028215
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address400 N STATE OF FRANKLIN RD, OFFICE OF NISWONGER CEOJohnson City, TN 37604-6035
Mailing Address400 N State Of Franklin Rd, Office Of Niswonger CeoJohnson City, TN 37604-6035 · (423) 431-4847 · Fax (423) 431-3949
Fax(423) 431-3949
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 302-3051
Enumeration DateJuly 9, 2015
Last NPPES UpdateMarch 29, 2019
✔ NPI 1386028215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
400 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Names 3

Doing Business AsBallad Health Medical Associates
Doing Business AsMsmg Hospital Pediatrics Nsch
Other NameBhma Pediatric Hospitalists Nsch

Other Identifiers 3

Medicaid1386028215NC
Medicaid1386028215VA
MedicaidQ013912TN

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, 13 practice at this address and 189 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
Pulmonary Disease
NPI 1063639839
400 N STATE OF FRANKLIN RD ROOM 2746
Johnson City, TN 37604
(423) 431-2727
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275050627
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 323-6900
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1417142159
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 282-1480
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417529439
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-6111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184285629
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-6111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861940785
400 N STATE OF FRANKLIN RD FL 4
Johnson City, TN 37604
(423) 282-1480
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1740272020
400 N STATE OF FRANKLIN RD ROOM 2746
Johnson City, TN 37604
(423) 431-2390
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154603181
400 N STATE OF FRANKLIN RD ROOM 2746
Johnson City, TN 37604
(423) 431-2727
✔ PECOSSame address
Nurse Practitioner
NPI 1831562016
400 N STATE OF FRANKLIN RD ROOM 2746
Johnson City, TN 37604
(423) 431-2727
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1770539868
400 N STATE OF FRANKLIN RD RM 2746
Johnson City, TN 37604
(423) 431-2727
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1396061560
400 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-6111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134305121
400 N STATE OF FRANKLIN RD ROOM 2746
Johnson City, TN 37604
(423) 431-2727
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1023276870
400 N STATE OF FRANKLIN RD ROOM 2746
Johnson City, TN 37604
(423) 431-2727
✔ PECOSSame address
Nurse Practitioner
NPI 1174029524
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1700872959
2 PROFESSIONAL PARK DR STE 11
Johnson City, TN 37604
(423) 975-5650
✔ PECOS✔ Accepts Medicare0.1 mi
Vascular Surgery
NPI 1558355511
2 PROFESSIONAL PARK DR STE 11
Johnson City, TN 37604
(423) 434-7400
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1245383108
3 PROFESSIONAL PARK DR STE 31
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare0.1 mi
General Practice
NPI 1851387872
2 PROFESSIONAL PARK DR STE 11
Johnson City, TN 37604
(423) 975-5650
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1205398179
403 N STATE OF FRANKLIN RD
Johnson City, TN 37604
(423) 431-7111
✔ PECOS✔ Accepts Medicare0.1 mi
Physician Assistant
NPI 1093208951
403 N STATE OF FRANKLIN RD WOODRIDGE HOSPITAL
Johnson City, TN 37604
(423) 340-2276
✔ PECOS✔ Accepts Medicare0.1 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 1386028215. It was assigned to this organization in the NPPES registry on July 9, 2015. The provider is doing business as Ballad Health Medical Associates and MSMG Hospital Pediatrics NSCH. The provider is also known as BHMA Pediatric Hospitalists NSCH.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 400 N State Of Franklin Rd Office Of Niswonger Ceo, Johnson City, TN 37604. The listed phone number is (423) 431-4847.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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, 13 practice at this address and 189 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 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.