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BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1750779997
Dermatology in Abingdon, VA

Active since December 22, 2014CLIA 49D1090359 · Microscopy
607 CAMPUS DR, ABINGDON, VA 24210(276) 619-2416(276) 619-2418 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: Feb 14, 2017, Jan 18, 2016 (2 updates tracked since 2016).

About Ballad Health Medical Associates NPPES

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

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1750779997) is a healthcare organization registered as a dermatology in Abingdon, Virginia and active in the NPI registry since December 2014. The organization holds a CLIA Microscopy certificate valid through October 7, 2026 and lists Carl Stephen Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1750779997
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address607 CAMPUS DRAbingdon, VA 24210-9700
Mailing Address607 Campus DrAbingdon, VA 24210-9700 · (276) 619-2416 · Fax (276) 619-2418
Phone(276) 619-2416
Fax(276) 619-2418
Organization SubpartNo
Authorized OfficialCarl Stephen KilgorePresident · (423) 302-3051
Enumeration DateDecember 22, 2014
Last NPPES UpdateMarch 29, 20192 updates tracked since enumeration
✔ NPI 1750779997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
607 CAMPUS DR, Abingdon, VA 24210
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Other Names 3

Doing Business AsBallad Health Medical Associates
Doing Business AsMsmg Dermatology Abingdon
Other NameBhma Dermatology Abingdon

Other Identifiers 1

OtherDF7910VA · Rr Medicare

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

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 for Provider-Performed Microscopy Procedures (PPMP) 49D1090359

Wellmont Medical Associates Dba Ballad Health Medical Associates · Abingdon, VA
Active · expires Oct 7, 2026
CLIA Number49D1090359
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorClinton H. Sutherland
Laboratory Phone(276) 628-4406
Laboratory LocationWellmont Medical Associates Dba Ballad Health Medical Associates603 Campus Drive Suite 100, Abingdon, VA 24210
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

BRITTANY LEIGHANNE HARLOW APRN
Nurse Practitioner (Family)
607 CAMPUS DR
ABINGDON, VA 24210
Washington County (276) 525-4603

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 1750779997. It was assigned to this organization in the NPPES registry on December 22, 2014. The provider is doing business as Ballad Health Medical Associates and MSMG Dermatology Abingdon. The provider is also known as BHMA Dermatology Abingdon.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 607 Campus Dr, Abingdon, VA 24210. The listed phone number is (276) 619-2416.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D1090359) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.