BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1811378854
Pediatrics - Pediatric Critical Care Medicine in Johnson City, TN

Active since June 16, 2015
408 N STATE OF FRANKLIN RD, SUITE 31D, 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: October 04, 2026.

About Ballad Health Medical Associates NPPES

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

BALLAD HEALTH MEDICAL ASSOCIATES (NPI 1811378854) is a healthcare organization registered as a pediatric critical care medicine in Johnson City, Tennessee and active in the NPI registry since June 2015. The organization lists Carl Steve Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1811378854
Entity TypeOrganization
Primary Taxonomy2080P0203X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address408 N STATE OF FRANKLIN RD, SUITE 31DJohnson City, TN 37604-6089
Mailing Address408 N State Of Franklin Rd, Suite 31dJohnson City, TN 37604-6089 · (423) 431-4946 · Fax (423) 431-4947
Fax(423) 431-4947
Organization SubpartNo
Authorized OfficialCarl Steve KilgorePresident · (423) 302-3051
Enumeration DateJune 16, 2015
Last NPPES UpdateMarch 29, 2019
✔ NPI 1811378854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
408 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Names 3

Doing Business AsBallad Health Medical Associates
Doing Business AsMsmg Pediatric Critical Care
Other NameBhma Pediatric Critical Care Johnson City

Other Identifiers 2

MedicaidQ013694TN
Medicaid1811378854VA

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

Other Providers at the Same Location NPPES 20

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

Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Nurse Practitioner (Adult Health)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Radiology (Diagnostic Radiology)
408 N STATE OF FRANKLIN RD, SUITE 31
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 31B
JOHNSON CITY, TN 37604
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Nurse Practitioner
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 24
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 Corporation's NPI number?

The NPI number for Blue Ridge Medical Management Corporation is 1811378854. It was assigned to this organization in the NPPES registry on June 16, 2015. The provider is doing business as Ballad Health Medical Associates and MSMG Pediatric Critical Care. The provider is also known as BHMA Pediatric Critical Care Johnson City.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 408 N State Of Franklin Rd Suite 31D, 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 Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

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.