BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1568958775
Urology - Pediatric Urology in Johnson City, TN
NPI Status: Active since July 11, 2018
Contact Information
408 N STATE OF FRANKLIN RD STE 31F
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-4946
Fax: (423) 431-4947
- Organization
- Urology
- Pediatric Urology
- CLIA Number: 44D2101358
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2027
About BALLAD HEALTH MEDICAL ASSOCIATES
This page provides the complete NPI Profile along with additional information for Ballad Health Medical Associates, a provider established in Johnson City, Tennessee operating as a Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1568958775 assigned on July 2018. The practitioner's primary taxonomy code is 2088P0231X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Ballad Health Medical Associates. The authorized official of this NPI record is Carl Kilgore (President)
- NPI
- 1568958775
- Provider Legal Name
- BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
- Other Organization Name
- BALLAD HEALTH MEDICAL ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 408 N STATE OF FRANKLIN RD STE 31F JOHNSON CITY, TN 37604
- Location Phone
- (423) 431-4946
- Location Fax
- (423) 431-4947
- Mailing Address
- 408 N STATE OF FRANKLIN RD STE 31F JOHNSON CITY, TN 37604
- Mailing Phone
- (423) 431-4946
- Mailing Fax
- (423) 431-4947
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-11-2018
- Last Update Date
- 03-29-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology Pediatric Urology
- Taxonomy Code
- 2088P0231X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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).
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2101358
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2025
- Certificate Expiration Date
- August 31, 2027
- Laboratory Director
- DR. GEORGE FORD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ballad Health Medical Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568958775, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568958775, enumerated as an "organization" on July 11, 2018.
The provider is located at 408 N STATE OF FRANKLIN RD STE 31F JOHNSON CITY, TN 37604 and the phone number is (423) 431-4946.
Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.
