Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ridge Medical Management Corpoartion

Organization Neurological Surgery Physician · NPI 1417453440

Blue Ridge Medical Management Corpoartion is a Neurological Surgery Physician in Johnson City, Tennessee. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
5

Practice location Address checks out

701 Med Tech Pkwy Ste 300
Johnson City, TN 37604-2365
Phone: (423) 232-8301
Fax: (423) 232-8304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 444 Clinchfield St Ste 103, Kingsport, TN 37660-3859 — (423) 578-1518

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1417453440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; East Tennessee Brain And Spine Center An Affiliate Of Msmg; Bhma Neurosurgery, Spine And Rehabilitation Johnson City; Bhma Neurosurgery, Spine And Rehabilitation Kingsport
NPI enumeratedMarch 30, 2018
Last updated in NPPESMarch 29, 2019
Mailing address701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365

Other providers in Johnson City