BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1568958775
Urology - Pediatric Urology in Johnson City, TN

Q: What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Active since July 11, 2018CLIA Certified · 2 labs

408 N STATE OF FRANKLIN RD STE 31F, JOHNSON CITY, TN 37604(423) 431-4946(423) 431-4947 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ballad Health Medical Associates NPPES

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

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1568958775) is a healthcare organization registered as a pediatric urology in Johnson City, Tennessee and active in the NPI registry since July 2018. The organization holds 2 active CLIA laboratory certificates and lists Carl Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1568958775

Entity TypeOrganization

Primary Taxonomy2088P0231X

Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Location Address408 N STATE OF FRANKLIN RD STE 31FJohnson City, TN 37604-6088

Mailing Address408 N State Of Franklin Rd Ste 31fJohnson City, TN 37604-6088 · (423) 431-4946 · Fax (423) 431-4947

Phone(423) 431-4946

Fax(423) 431-4947

Organization SubpartNo

Authorized OfficialCarl KilgorePresident · (423) 302-3051

Enumeration DateJuly 11, 2018

Last NPPES UpdateMarch 29, 2019

✔ NPI 1568958775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

408 N STATE OF FRANKLIN RD STE 31F, Johnson City, TN 37604

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Other Names 3

Doing Business AsBallad Health Medical Associates

Doing Business AsMsmg Pediatric Urology Johnson City

Other NameBhma Pediatric Urology Johnson City

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

CLIA Laboratory Certificates CMS CLIA 2

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 44D2114636

Msmg Pediatric Gastroenterology Dba Ballad Health Medical Associates · Johnson City, TN

Active · expires Jun 19, 2028

CLIA Number44D2114636

Laboratory TypePhysician Office

Certificate Effective DateJune 20, 2026

Certificate Expiration DateJune 19, 2028

Laboratory DirectorDr. Gopinathan Nambiar

Laboratory Phone(423) 431-4946

Laboratory LocationMsmg Pediatric Gastroenterology Dba Ballad Health Medical Associates408 N State Of Franklin Rd, Suite 400E, Johnson City, TN 37604

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2101358

Msmg Pediatric Endocrinology Dba Ballad Health Medical Associates · Johnson City, TN

Active · expires Aug 31, 2027

CLIA Number44D2101358

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2025

Certificate Expiration DateAugust 31, 2027

Laboratory DirectorDr. George Ford

Laboratory Phone(423) 431-4946

Laboratory LocationMsmg Pediatric Endocrinology Dba Ballad Health Medical Associates408 N State Of Franklin Rd, Suite 400B, Johnson City, TN 37604

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 1568958775. It was assigned to this organization in the NPPES registry on July 11, 2018. The provider is doing business as Ballad Health Medical Associates and MSMG Pediatric Urology Johnson City. The provider is also known as BHMA Pediatric Urology Johnson City.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 408 N State Of Franklin Rd Ste 31F, Johnson City, TN 37604. The listed phone number is (423) 431-4946.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Does Blue Ridge Medical Management Corporation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.