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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
NPI 1992105431
Pediatrics in Kingsport, TN

Active since September 03, 2014
2002 BROOKSIDE DR, SUITE 200, KINGSPORT, TN 37660(423) 224-3933(423) 224-3934 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2022, Feb 14, 2017 (2 updates tracked since 2017).

About Blue Ridge Medical Management Corporation NPPES

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION (NPI 1992105431), doing business as Ballad Health Medical Associates, is a healthcare organization registered as a pediatrics in Kingsport, Tennessee and active in the NPI registry since September 2014. The organization lists Carl Steven Kilgore, President, as its authorized official.

NPPES Registry Identity

NPI1992105431
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Location Address2002 BROOKSIDE DR, SUITE 200Kingsport, TN 37660-4634
Mailing Address2002 Brookside Dr, Suite 200Kingsport, TN 37660-4634 · (423) 224-3933 · Fax (423) 224-3934
Phone(423) 224-3933
Fax(423) 224-3934
Organization SubpartNo
Authorized OfficialCarl Steven KilgorePresident · (423) 302-3051
Enumeration DateSeptember 3, 2014
Last NPPES UpdateMay 2, 20252 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
✔ NPI 1992105431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2002 BROOKSIDE DR, Kingsport, TN 37660
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Other Names 3

Doing Business AsBallad Health Medical Associates
Doing Business AsMsmg Peds Kpt
Other NameBhma Pediatrics Kingsport

Other Identifiers 2

Medicaid1992105431VA
MedicaidQ008812TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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.

MRS. MICHELLE R ESTES MD
Pediatrics
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933
MRS. SUSAN WATTS JEANSONNE MD
Pediatrics
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933
DR. STEVEN C BUTLER M.D.
Internal Medicine (Nephrology)
2002 BROOKSIDE DR, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
DR. SHELDON H FISHER DO
Obstetrics & Gynecology
2002 BROOKSIDE DR, STE 300
KINGSPORT, TN 37660
Sullivan County (423) 392-6370
MRS. CINDY SUE BUTLER N.P.
Nurse Practitioner
2002 BROOKSIDE DR, SUITE102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Specialist
2002 BROOKSIDE DR, SUITE 300A
KINGSPORT, TN 37660
Sullivan County (423) 232-6900
DR. ABRAR AHMAD M.D.
Internal Medicine (Nephrology)
2002 BROOKSIDE DR, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
JACK R CROWDER M.D.
Obstetrics & Gynecology
2002 BROOKSIDE DR, SUITE 300
KINGSPORT, TN 37660
Sullivan County (423) 392-6370

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 1992105431. It was assigned to this organization in the NPPES registry on September 3, 2014. The provider is doing business as Ballad Health Medical Associates and Msmg Peds Kpt. The provider is also known as BHMA Pediatrics Kingsport.

Where is Blue Ridge Medical Management Corporation located?

Blue Ridge Medical Management Corporation is located at 2002 Brookside Dr Suite 200, Kingsport, TN 37660. The listed phone number is (423) 224-3933.

What is Blue Ridge Medical Management Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Blue Ridge Medical Management Corporation accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Blue Ridge Medical Management Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blue Ridge Medical Management Corporation was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.