BALLAD HEALTH MEDICAL ASSOCIATES
NPI 1912137506
Hospitalist in Johnson City, TN

NPI Status: Active since July 17, 2009

Contact Information

408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-1810
Fax: (423) 431-1811

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  • Organization
  • Hospitalist
  • Medicare Supplier
  • Accepts Medicare Approved Payment

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 Hospitalist. The healthcare provider is registered in the NPI registry with number 1912137506 assigned on July 2009. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Ballad Health Medical Associates operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Ballad Health Medical Associates. The authorized official of this NPI record is Carl Steven Kilgore (President)

NPI
1912137506
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 SUITE 24 JOHNSON CITY, TN 37604
Location Phone
(423) 431-1810
Location Fax
(423) 431-1811
Mailing Address
400 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604
Mailing Phone
(423) 431-1810
Mailing Fax
(423) 431-1811
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2009
Last Update Date
08-07-2023
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Ballad Health Medical Associates is a medicare supplier with PTAN 20618039 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Blood Glucose Monitors/Supplies (Non-Mail Order) or Nebulizer Equipment and/or Supplies.

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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

(TN)
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARL STEVEN KILGORE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(423) 302-3051

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
020487819OTHER (01)TNDEPARTMENT OF LABOR
1515079MEDICAID (05)TN 
5912773MEDICAID (05)NC 
7100104590MEDICAID (05)KY 
7100117550MEDICAID (05)KY 
1912137506MEDICAID (05)VA 
CA5744OTHER (01)TNRR MEDICARE
4344857OTHER (01)TNBLUECARE

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20618039
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters

Reviews for BALLAD HEALTH MEDICAL ASSOCIATES

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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 1912137506, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 1 → 2 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 2 + 3 + 1 + 4 + 5 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1912137506.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Obstetrics & Gynecology (Reproductive Endocrinology)
408 N STATE OF FRANKLIN RD, SUITE # 31
JOHNSON CITY, TN 37604
Dietitian, Registered
408 N STATE OF FRANKLIN RD, SUITE#31
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Physician Assistant
408 N STATE OF FRANKLIN RD, SUITE 31
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24 A
JOHNSON CITY, TN 37604
Internal Medicine (Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Pediatrics (Pediatric Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 31 E
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Nurse Practitioner
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604
Pediatrics (Pediatric Critical Care Medicine)
408 N STATE OF FRANKLIN RD, SUITE 31D
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24 A
JOHNSON CITY, TN 37604
Nurse Practitioner (Adult Health)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912137506, enumerated as an "organization" on July 17, 2009.

The provider is located at 408 N STATE OF FRANKLIN RD SUITE 24 JOHNSON CITY, TN 37604 and the phone number is (423) 431-1810.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.