BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1417453440
Neurological Surgery in Johnson City, TN

Active since March 30, 2018
701 MED TECH PKWY STE 300, JOHNSON CITY, TN 37604(423) 232-8301(423) 232-8304 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 28, 2018, May 7, 2018, Apr 25, 2018 and 1 more (4 updates tracked since 2018).

About Ballad Health Medical Associates NPPES

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

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1417453440) is a healthcare organization registered as a neurological surgery in Johnson City, Tennessee and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Kingsport and lists Carl Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1417453440
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
Location Address701 MED TECH PKWY STE 300Johnson City, TN 37604-2365
Mailing Address701 Med Tech Pkwy Ste 300Johnson City, TN 37604-2365 · (423) 232-8301 · Fax (423) 232-8304
Fax(423) 232-8304
Organization SubpartNo
Authorized OfficialCarl KilgorePresident · (423) 302-3051
Enumeration DateMarch 30, 2018
Last NPPES UpdateMarch 29, 20194 updates tracked since enumeration
✔ NPI 1417453440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
701 MED TECH PKWY STE 300, Johnson City, TN 37604

Other Names 4

Doing Business AsBallad Health Medical Associates
Doing Business AsEast Tennessee Brain And Spine Center An Affiliate Of Msmg
Other NameBhma Neurosurgery, Spine And Rehabilitation Johnson City
Other NameBhma Neurosurgery, Spine And Rehabilitation Kingsport

Secondary Practice Location 1

Location 1444 Clinchfield St Ste 103Kingsport, TN 37660-3859 · Phone (423) 578-1518 · Fax (423) 230-6349

Other Identifiers 1

MedicaidQ035119TN

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)

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, 9 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
Neurosurgery
NPI 1194250142
701 MED TECH PKWY STE 300
Johnson City, TN 37604
(423) 232-8301
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1770573511
701 MED TECH PKWY STE 201
Johnson City, TN 37604
(423) 302-3480
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1326030339
701 MED TECH PKWY STE 300
Johnson City, TN 37604
(423) 232-8301
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1578537882
701 MED TECH PKWY STE 401
Johnson City, TN 37604
(423) 631-0646
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1659931475
701 MED TECH PKWY STE 200
Johnson City, TN 37604
(423) 302-3480
✔ PECOSSame address
Neurosurgery
NPI 1750518544
701 MED TECH PKWY SUITE 300
Johnson City, TN 37604
(423) 232-8301
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1992894448
701 MED TECH PKWY STE 201
Johnson City, TN 37604
(423) 302-3480
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114504545
701 MED TECH PKWY STE 401
Johnson City, TN 37604
(423) 631-0646
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1548748882
701 MED TECH PKWY STE 201
Johnson City, TN 37604
(423) 302-3480
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194267765
300 MED TECH PKWY
Johnson City, TN 37604
(423) 302-1200
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1497801559
161 HEART DR STE A
Johnson City, TN 37604
(423) 282-0751
✔ PECOS✔ Accepts Medicare0.3 mi
Ophthalmology
NPI 1558390385
2328 KNOB CREEK RD SUITE 506
Johnson City, TN 37604
(423) 722-1311
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1396740957
301 MED TECH PKWY STE 240
Johnson City, TN 37604
(423) 794-5520
✔ PECOS✔ Accepts Medicare0.4 mi
Internal Medicine
NPI 1417138439
301 MED TECH PKWY STE 240
Johnson City, TN 37604
(423) 794-5520
✔ PECOS✔ Accepts Medicare0.4 mi
Hospitalist
NPI 1124437207
301 MED TECH PKWY STE 240
Johnson City, TN 37604
(423) 794-5520
✔ PECOS✔ Accepts Medicare0.4 mi
Preventive Medicine
NPI 1366411621
200 MED TECH PKWY STE 108
Johnson City, TN 37604
(423) 915-5033
✔ 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
Neurology
NPI 1851448476
378 MARKETPLACE BLVD STE 10C
Johnson City, TN 37604
(423) 431-4946
✔ PECOS✔ Accepts Medicare0.6 mi
Diagnostic Radiology
NPI 1164473005
1301 SUNSET DR STE 3
Johnson City, TN 37604
(423) 926-4966
✔ PECOS✔ Accepts Medicare0.6 mi
Pulmonary Disease
NPI 1871588806
2428 KNOB CREEK RD SUITE 102
Johnson City, TN 37604
(423) 794-1074
✔ PECOS✔ Accepts Medicare0.6 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 Corpoartion's NPI number?

The NPI number for Blue Ridge Medical Management Corpoartion is 1417453440. It was assigned to this organization in the NPPES registry on March 30, 2018. The provider is doing business as Ballad Health Medical Associates and East Tennessee Brain And Spine Center an affiliate of MSMG. The provider is also known as BHMA Neurosurgery, Spine and Rehabilitation Johnson City and BHMA Neurosurgery, Spine and Rehabilitation Kingsport.

Where is Blue Ridge Medical Management Corpoartion located?

Blue Ridge Medical Management Corpoartion is located at 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604. The listed phone number is (423) 232-8301.

What is Blue Ridge Medical Management Corpoartion's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Blue Ridge Medical Management Corpoartion enrolled in Medicare?

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

When is Blue Ridge Medical Management Corpoartion'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 Corpoartion?

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 Corpoartion. 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, 9 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 Corpoartion 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 Corpoartion 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 Corpoartion 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.