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

Active since March 30, 2018CLIA 44D2046156 · Waiver
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: August 02, 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 holds a CLIA Waiver certificate valid through August 27, 2026, 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

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 44D2046156

East Tennessee Brain & Spine Center Dba Ballad Health Medical Associates · Kingsport, TN
Active · expires Aug 27, 2026
CLIA Number44D2046156
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorDr. Gregory Corradino
Laboratory Phone(423) 578-1518
Laboratory LocationEast Tennessee Brain & Spine Center Dba Ballad Health Medical Associates444 Clinchfield St, Suite 103, Kingsport, TN 37660
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 8

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

Physician Assistant
701 MED TECH PKWY STE 300
JOHNSON CITY, TN 37604
Neurological Surgery
701 MED TECH PKWY STE 300
JOHNSON CITY, TN 37604
Physician Assistant (Surgical)
701 MED TECH PKWY STE 300
JOHNSON CITY, TN 37604
Physician Assistant (Surgical)
701 MED TECH PKWY STE 300
JOHNSON CITY, TN 37604
Neurological Surgery
701 MED TECH PKWY STE 300
JOHNSON CITY, TN 37604
Physician Assistant
701 MED TECH PKWY STE 300
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
701 MED TECH PKWY STE 300
JOHNSON CITY, TN 37604
Physician Assistant
701 MED TECH PKWY STE 300
JOHNSON CITY, TN 37604

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.

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

Yes. A Certificate of Waiver (number 44D2046156) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blue Ridge Medical Management Corpoartion 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 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.